Organization
ADVANTAGE ANESTHESIA 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 M.D. (CHIEF MEDICAL OFFICER)
(240) 560-5089
Entity
Organization
Contact information
Practice address
12240 INDIAN CREEK CT, SUITE 130, BELTSVILLE, MD 20705-1242
(240) 560-5089
Mailing address
12240 INDIAN CREEK CT, SUITE 130, BELTSVILLE, MD 20705-1242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/28/2017
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