Maryland Physicians Edge LLC

NPI #1144252859 in Silver Spring, Maryland

Provider Information

NPI Number
1144252859
Entity Type
Organization
Organization Name
Maryland Physicians Edge LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANTIA HOLDINGS OF MARYLAND LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 6, 2006
Last Updated
Aug 14, 2017

Practice Location

Address
1400 FOREST GLEN RD
Address 2
SUITE 500
ZIP Code
20910-1459
Phone
(301) 681-6772

Authorized Official

Name
DR. PETER GLASS, M.D.
Title
CHIEF MEDICAL OFFICER
Phone
(301) 681-6772

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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