Pembrooke Square Ent Associates, Llc

LBN: Pembrooke Square Ent Associates, Llc
Pembrooke Square Ent Associates, Llc is an health care organization with primary practice located at 11355 Pembrooke Sq Ste 108 , Waldorf MD 20603-4805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Pembrooke Square Ent Associates, Llc can be contacted via phone (301) 645-4419, or through Mason, Gary R via phone (301) 645-4419.

Contact Information

Primary practice address
11355 Pembrooke Sq Ste 108 Waldorf MD 20603-4805
Phone: (301) 645-4419
Fax: (301) 645-7006
Website:
Map and Directions
Authorized official contact:
Name: Mason, Gary R Doctor of Medicine (MD)
Phone: (301) 645-4419

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D0020369 Maryland

Profile Details

NPI number 1336321462
LBN Legal business name Pembrooke Square Ent Associates, Llc
DBA Doing business as
Authorized official Mason, Gary R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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