# CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124813324
- **Authorized official:** NICHOLAS PATRICK GROSSO (PRINCIPLE PHYSICIAN)
- **Authorized official phone:** (410) 644-1880

## Contact information

- **Practice address:** 2629 RIVA RD STE 110, ANNAPOLIS, MD 21401-7428
- **Practice address phone:** (410) 573-2530
- **Practice address fax:** (410) 573-2536
- **Mailing address:** 6707 DEMOCRACY BLVD STE 504, BETHESDA, MD 20817-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2025
- **Last updated:** 04/10/2025