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Organization

CENTERS FOR ADVANCED ORTHOPAEDICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS PATRICK GROSSO (AUTHORIZED OFFICIAL)
(410) 644-1880
Entity
Organization

Contact information

Practice address
14348 GIDEON DR, WOODBRIDGE, VA 22192-4640
(703) 490-1112
Mailing address
14605 POTOMAC BRANCH DR STE 300, WOODBRIDGE, VA 22191-3337

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
04/20/2021
Last updated
04/20/2021
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