Organization
ADVANCED ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL O SCHUB P.A. (MEDICAL DIRECTOR)
(410) 730-1000
Entity
Organization
Contact information
Practice address
8875 CENTRE PARK DR, SUITE D, COLUMBIA, MD 21045-2382
(410) 730-1000
Mailing address
8875 CENTRE PARK DR, SUITE D, COLUMBIA, MD 21045-2382
(410) 730-1000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H35058
MD
Other
Enumeration date
01/03/2009
Last updated
09/24/2009
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