OrganizationActive
Massachusetts Avenue Surgical Consultants LLC
NPI 1104161082 · Surgical Technologist · Bethesda, MD
Provider details
- NPI number
- 1104161082
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Parent organization
- Massachusetts Avenue Consulting Services LLC
- Organization subpart
- Yes
- Authorized official
- Randall Gross, Executive Director(301) 263-0800
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6400 Goldsboro Rd Ste 400
Bethesda, MD 20817-5846
Phone: (301) 263-0800
Fax: (301) 263-0820
Approximate (ZIP-level) locationGet directions
Mailing address
6400 Goldsboro Rd Ste 400
Bethesda, MD 20817-5846
Registry dates
- Enumerated
- 2012-12-04
- Last updated
- 2012-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.