Platinum Surgical Assistants

NPI #1962824896 in Fulton, Maryland

Provider Information

NPI Number: 1962824896
Entity Type: Organization
Organization Name: Platinum Surgical Assistants
Primary Specialty: Specialist/Technologist, Other - Surgical Technologist
Enumeration Date: Jan 12, 2014
Last Updated: Jun 13, 2023

Practice Location

Address: 8115 MAPLE LAWN BLVD STE 350
City: Fulton
State: Maryland
ZIP Code: 20759-2683
Phone: (301) 363-4934

Authorized Official

Name: MR. RAFAEL J NOLLIE, CSA/LPN
Title: PRESIDENT
Phone: (301) 363-4934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X	Primary

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