OrganizationHoly Cross Anesthesiology Associate PaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1330 Piccard Dr Ste 102, Rockville, MD 20850-4372(301) 208-7350PECOS 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 2 days ago.Profile DetailsProvider ID1407679996Provider TypeOrganizationFull NameHoly Cross Anesthesiology Associate PaSubpartYesEnumeration Date11/4/2024Last Updated11/4/2024Contact InformationPractice LocationPractice Address1330 Piccard Dr Ste 102, Rockville, MD 20850-4372Phone(301) 208-7350FaxUnlisted 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