Basic Information
| Provider Information | |||||||||
| NPI: | 1932718459 | ||||||||
| 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 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3700 JOSEPH SIEWICK DR STE 206 | ||||||||
| Address2: | |||||||||
| City: | FAIRFAX | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220331738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033932517 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2020 | ||||||||
| LastUpdateDate: | 07/30/2020 | ||||||||
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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: | 07/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.