Stanford Surgical Services LLC
NPI #1730366394 in Germantown, Maryland
Provider Information
- NPI Number
- 1730366394
- Entity Type
- Organization
- Organization Name
- Stanford Surgical Services LLC
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Jan 25, 2008
- Last Updated
- Jan 25, 2008
Practice Location
- Address
- 19466 CARAVAN DR
- City
- Germantown
- State
- Maryland
- ZIP Code
- 20874-6220
- Phone
- (301) 528-0868
Authorized Official
- Name
- JASON CHARLES STANFORD
- Title
- OWNER PHYSICIAN ASSISTANT
- Phone
- (301) 528-0868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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