Organization
SHADY GROVE ANESTHESIA ASSOCIATE LLC
Active
Organization
SHADY GROVE ANESTHESIA ASSOCIATE LLC
Active
Parent organization
SHADY GROVE FERTILITY RSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHADY GROVE FERTILITY RSC
Authorized official
SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
(301) 545-1407
Entity
Organization
Contact information
Practice address
9600 BLACKWELL ROAD, SUITE 500, ROCKVILLE, MD 20850-6478
(301) 340-1188
(301) 340-1612
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R115576
MD
Other
Enumeration date
04/23/2013
Last updated
02/16/2018
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