Chevy Chase Anesthesia LLC

NPI #1538158977 in Frederick, Maryland

Provider Information

NPI Number: 1538158977
Entity Type: Organization
Organization Name: Chevy Chase Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 18, 2005
Last Updated: Apr 5, 2016

Practice Location

Address: 45 THOMAS JOHNSON DRIVE
Address 2: SUITE 207
City: Frederick
State: Maryland
ZIP Code: 21070-4490
Phone: (800) 709-2705

Authorized Official

Name: MR. ANDREW R. RIBAUDO
Title: PRESIDENT
Phone: (404) 446-1417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology	207L00000X	Primary

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