MEDICARE: CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1881033496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Provider Business Mailing Address
First Line	:	6707 DEMOCRACY BLVD STE 5004
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 BOX HILL CORPORATE CENTER DR STE 120
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-1200
Country	:	US
Telephone Number	:	410-377-8900
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	NICHOLAS PATRICK GROSSO
Credential	:
Telephone Number	:	410-644-1880

Provider Enumeration Date	:	06/17/2013
Last Update Date	:	12/09/2024

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