Organization
ADVANTIA HOLDINGS OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GLASS M.D. (CHIEF MEDICAL OFFICER)
(202) 315-5223
Entity
Organization
Contact information
Practice address
1400 FOREST GLEN RD, SUITE 500, SILVER SPRING, MD 20910-1459
(202) 315-5223
Mailing address
1525 WILSON BLVD, SUITE 540, ARLINGTON, VA 22209-2411
(202) 315-5223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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