| Advanced Anesthesia, Llc | |
|
8875 Centre Park Dr Suite D Columbia MD 21045-2382 | |
| (410) 730-1000 | |
| Not Available |
| Full Name | Advanced Anesthesia, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8875 Centre Park Dr, Columbia, Maryland |
| Authorized Official Name and Position | Russell O Schub (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4107301000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Anesthesia, Llc 8875 Centre Park Dr Suite D Columbia MD 21045-2382 Ph: (410) 730-1000 | Advanced Anesthesia, Llc 8875 Centre Park Dr Suite D Columbia MD 21045-2382 Ph: (410) 730-1000 |
| NPI Number | 1194961730 |
|---|---|
| Provider Enumeration Date | 01/03/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194961730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H35058 (Maryland) | Primary |
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