| NPI | 1972922920 |
|---|---|
| Former Legal Business Name | MARYLAND PHYSICIANS EDGE, PC |
| Entity Type | Organization |
| Authorized Contact | VICTORIA DODSON Credentialing Manager 443-398-0189 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-08-08 |