Organization
PROVIDENCE ANESTHESIA ASSOCIATES, P.A.
Active
Organization
PROVIDENCE ANESTHESIA ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M OPPONG JR. M.D. (DIRECTOR/PRESIDENT)
(301) 755-9500
Entity
Organization
Contact information
Practice address
6911 LAUREL BOWIE RD, SUITE 212, BOWIE, MD 20715-1712
(301) 755-9500
Mailing address
6911 LAUREL BOWIE RD, SUITE 212, BOWIE, MD 20715-1712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0066706
MD
207L00000X
Anesthesiology Physician
MD039935
DC
Other
Enumeration date
01/31/2015
Last updated
03/26/2016
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