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Organization
ADVANCED ENT
Active
Organization
ADVANCED ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY PRASAD M.D. (OWNER)
(301) 807-3841
Entity
Organization
Contact information
Practice address
1101 WOOTTON PKWY, SUITE 900, ROCKVILLE, MD 20852-1059
(301) 493-9409
(301) 493-9429
Mailing address
1101 WOOTTON PARKWAY, SUITE 900, ROCKVILLE, MD 20852-1089
(301) 493-9409
(301) 493-9429
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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