Organization
ADVANTIA HEALTH SPINE-SPORTS & PAIN CENTER OF MARYLAND LLC
Active
Parent organization
ADVANTIA HOLDINGS OF MARYLAND LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTIA HOLDINGS OF MARYLAND LLC
Authorized official
DR. PETER GLASS MD (CMO)
(301) 453-5970
Entity
Organization
Contact information
Practice address
12240 INDIAN CREEK CT, SUITE 130A, BELTSVILLE, MD 20705-1242
(571) 327-1334
(240) 264-8436
Mailing address
1400 FOREST GLEN RD STE 500, SILVER SPRING, MD 20910-1467
(301) 453-5970
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
07/21/2022
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