Basic Information
| Provider Information | |||||||||
| NPI: | 1598364507 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTERS FOR ADVANCED ORTHOPAEDICS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6707 DEMOCRACY BLVD STE 504 | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208171166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016378712 | ||||||||
| FaxNumber: | 3015473366 | ||||||||
| Practice Location | |||||||||
| Address1: | 6707 DEMOCRACY BLVD STE 504 | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208171166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016378712 | ||||||||
| FaxNumber: | 3015473366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2020 | ||||||||
| LastUpdateDate: | 10/21/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROBINSON | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 3016378712 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 10/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.