Pembrooke Square Ent Associates, Llc in Waldorf - Otolaryngology
Pembrooke Square Ent Associates, Llc - NPI 1336321462
Pembrooke Square Ent Associates, Llc is a Otolaryngology in Waldorf, Maryland. Pembrooke Square Ent Associates, Llc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Pembrooke Square Ent Associates, Llc is 1336321462. The last update date is 2007-11-30.
Pembrooke Square Ent Associates, Llc's current location address is 11355 Pembrooke Sq Ste 108, Waldorf, Maryland. You can contact this provider via phone number 3016454419 and fax number 3016457006. The mailing address for Pembrooke Square Ent Associates, Llc is 11355 Pembrooke Sq Ste 108, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pembrooke Square Ent Associates, Llc |
|---|---|
| Address | 11355 Pembrooke Sq Ste 108, Waldorf, Maryland |
| Phone Number | 3016454419 |
| Fax Number | 3016457006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mason R Gary |
| Credentials | M.D. |
| Telephone Number | 3016454419 |
NPI Number Detail
| NPI Number | 1336321462 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 11355 Pembrooke Sq Ste 108 |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206034805 |
| Phone Number | 3016454419 |
| Fax Number | 3016457006 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | D0020369 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique 10-digit identifier code assigned to Pembrooke Square Ent Associates, Llc by the Centers for Medicare & Medicaid Services?
The Pembrooke Square Ent Associates, Llc has been issued the NPI (National Provider Identifier) 1336321462 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Pembrooke Square Ent Associates, Llc's physical address?
The Pembrooke Square Ent Associates, Llc is physically located at 11355 Pembrooke Sq Ste 108, in the city of Waldorf, MD, with the postal code 206034805.
What is Pembrooke Square Ent Associates, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pembrooke Square Ent Associates, Llc is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
On what date did Pembrooke Square Ent Associates, Llc receive its 1336321462 assignment from the Centers for Medicare & Medicaid Services?
The Pembrooke Square Ent Associates, Llc was assigned its 1336321462 on 2007-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Pembrooke Square Ent Associates, Llc most recently updated or revised?
The details related to Pembrooke Square Ent Associates, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-30.
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