SUPRIYA JAGANNATH MD LLC

SALISBURY, MD
NPI1184899403
Entity TypeOrganization
Authorized ContactSUPRIYA BANAD JAGANNATH
Owner
410-476-7511
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MD  D0064112)
Enumeration Date2008-04-28
Last Update Date2008-04-28
Business Address
SUPRIYA JAGANNATH MD LLC
100 E CARROLL ST
SALISBURY, MD 21801-5422
Phone number: 410-543-7530
Mailing Address
SUPRIYA JAGANNATH MD LLC
PO BOX 2181
SALISBURY, MD 21802-2181
Phone number: 410-476-7511
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