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Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Parent organization
ADVANTIA HOLDINGS OF MARYLAND LLC
Other names
Obstetrics and Gynecology Associates Ambulatory Surgery Center, Maryland Physicians Edge, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTIA HOLDINGS OF MARYLAND LLC
Authorized official
DR. PETER GLASS M.D. (CHIEF MEDICAL OFFICER)
(301) 681-6772
Entity
Organization
Contact information
Practice address
1400 FOREST GLEN RD, SUITE 500, SILVER SPRING, MD 20910-1459
(301) 681-6772
(301) 681-0672
Mailing address
1400 FOREST GLEN RD, SUITE 500, SILVER SPRING, MD 20910-1459
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1169
MD
Other
Enumeration date
07/06/2006
Last updated
08/14/2017
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