Healthcare Provider Details
I. General information
NPI: 1912829656
Provider Name (Legal Business Name): ANESTHESIA CONNECTIONS-VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 FOREST GLEN RD STE 250
SILVER SPRING MD
20910-1400
US
IV. Provider business mailing address
555 HUGUENOT TRL
MIDLOTHIAN VA
23113-9216
US
V. Phone/Fax
- Phone: 301-593-8101
- Fax:
- Phone: 804-301-4830
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
JOSEPH
VADELLA
Title or Position: MANAGING MEMBER
Credential:
Phone: 804-518-6504