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Contact Information

ADVANTIA SURGICAL LLC
12240 INDIAN CREEK CT STE 130
BELTSVILLE, MD20705-1260
 Phone: 240-560-5092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ADVANTIA SURGICAL LLC

NPI Number 1245620871
LBN Legal business name ADVANTIA SURGICAL LLC
Authorized official PETER GLASS - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/03/2015
Last updated 06/28/2017 - About 9 years ago
Identifiers
MD Other A1572 MD STATE ASC LICENSE
MD Other 582166 THE JOINT COMMISSION CERTIFICATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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