Organization
CENTRAL VIRGINIA ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS ANDERSON (CFO)
(301) 829-7683
Entity
Organization
Contact information
Practice address
1500 DIXON ST, SUITE 101, FREDERICKSBURG, VA 22401-7231
(301) 829-7683
(301) 829-7694
Mailing address
1302 RISING RIDGE RD, SUITE 1, MOUNT AIRY, MD 21771-5790
(301) 829-7683
(301) 829-7694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
VA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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