| Green States Anesthesia PLLC | |
|
1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 | |
| (800) 783-8584 | |
| (800) 783-8584 |
| Full Name | Green States Anesthesia PLLC |
|---|---|
| Speciality | Dentist - Dental Anesthesiology |
| Location | 1220 Caraway Ct Ste 1050, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Nora Brady (MANAGER) |
| Authorized Official Contact | 7025812819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green States Anesthesia PLLC 3343 E Indigo Bay Ct Gilbert AZ 85234-1737 Ph: (702) 581-2819 | Green States Anesthesia PLLC 1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 Ph: (800) 783-8584 |
| NPI Number | 1699252544 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 11/21/2022 |
| Certification Date | 11/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699252544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dental Anesthesiology | (NU) | Primary |
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