Organization
BLUE RIDGE ANESTHESIA ASSOCIATES LLC
Active
Other names
Blue Ridge Anesthesia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLO JOHN CUTLER D.O. (DEPARTMENT HEAD)
(301) 665-1717
Entity
Organization
Contact information
Practice address
11116 MEDICAL CAMPUS ROAD, HAGERSTOWN, MD 21742-6710
(301) 665-1717
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(301) 665-1717
(301) 665-1810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
MD
367500000X
Certified Registered Nurse Anesthetist
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015906630005
—
PA
05
—
452002500
—
MD
Enumeration date
08/28/2006
Last updated
05/02/2011
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