Healthcare Provider Details
I. General information
NPI: 1700219110
Provider Name (Legal Business Name): CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2013
Last Update Date: 03/13/2020
Certification Date: 03/13/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2112 F ST NW SUITE 305
WASHINGTON DC
20037
US
IV. Provider business mailing address
6707 DEMOCRACY BLVD STE 504
BETHESDA MD
20817-1166
US
V. Phone/Fax
- Phone: 202-912-8480
- Fax: 202-912-8484
- Phone: 202-912-8480
- Fax: 202-912-8484
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
ROBINSON
Title or Position: COO
Credential:
Phone: 301-637-8712