Organization
A&W ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA GHORBANI M.D. (PRESIDENT)
(781) 727-1352
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1550, BETHESDA, MD 20815-4404
(781) 727-1352
Mailing address
PO BOX 71155, BETHESDA, MD 20813-1155
(781) 727-1352
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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