OrganizationHoly Cross Anesthesiology Associate PaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address60 Thomas Johnson Dr Ste 2, Frederick, MD 21702-4685(240) 673-3283PECOS 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 ID1629891114Provider TypeOrganizationFull NameHoly Cross Anesthesiology Associate PaSubpartYesEnumeration Date11/4/2024Last Updated11/4/2024Contact InformationPractice LocationPractice Address60 Thomas Johnson Dr Ste 2, Frederick, MD 21702-4685Phone(240) 673-3283FaxUnlisted 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