OrganizationHoly Cross Anesthesiology Associate PaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535(301) 424-6231PECOS EnrollmentBased on the most recent information from CMS, provider Holy Cross Anesthesiology Associate Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1396568879Provider TypeOrganizationFull NameHoly Cross Anesthesiology Associate PaSubpartYesEnumeration Date11/4/2024Last Updated11/4/2024Contact InformationPractice LocationPractice Address9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535Phone(301) 424-6231FaxUnlisted FaxMailing LocationMailing AddressPO Box 64605, Baltimore, MD 21264-4605PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDepew, Sara (President)Phone(347) 731-2133Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer