Organization
ADVANCED ANESTHESIA GROUP, PLLC
Active
Organization
ADVANCED ANESTHESIA GROUP, PLLC
Active
Other names
Advanced Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DUONG THAI LY M.D. (SOLE PROPRIETOR)
(304) 267-5141
Entity
Organization
Contact information
Practice address
1006 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 267-5141
(304) 267-5140
Mailing address
PO BOX 62556, BALTIMORE, MD 21264-2556
(302) 709-4528
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
05/05/2011
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