Healthcare Provider Details

I. General information

NPI: 1457271470
Provider Name (Legal Business Name): ANESTHESIA CONNECTIONS-VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8171 MAPLE LAWN BLVD STE 100
FULTON MD
20759-2527
US

IV. Provider business mailing address

555 HUGUENOT TRL
MIDLOTHIAN VA
23113-9216
US

V. Phone/Fax

Practice location:
  • Phone: 410-531-7557
  • Fax:
Mailing address:
  • Phone: 814-301-4830
  • Fax: 808-863-4626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY JOSEPH VADELLA
Title or Position: MANAGING MEMBER
Credential:
Phone: 804-518-6504