Advantia Holdings Of Maryland LLC
Obstetrics & Gynecology in Silver Spring, MD. Organization (NPI-2).
NPI number1861932170
StatusActive
Last updated in NPPESMar 6, 2017
Details
- NPI
- 1861932170
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantia Holdings Of Maryland LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2017
- Last updated
- Mar 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – |
Practice location
1400 Forest Glen RdSuite 500
Silver Spring, MD 20910-1459
Phone 202-315-5223
Mailing address
1525 Wilson BlvdSuite 540
Arlington, VA 22209-2411
Phone 202-315-5223
Authorized official
Peter Glass
Chief Medical Officer
2023155223
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