Healthcare Provider Details

I. General information

NPI: 1609847383
Provider Name (Legal Business Name): MSH ANESTHESIA ASSOCIATES, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5812 DURBIN RD
BETHESDA MD
20817-6121
US

IV. Provider business mailing address

PO BOX 17241
BALTIMORE MD
21297-1241
US

V. Phone/Fax

Practice location:
  • Phone: 240-364-2500
  • Fax: 240-364-9020
Mailing address:
  • Phone: 240-364-2500
  • Fax: 240-364-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK E SCHUTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 240-364-2500