NPI 1619284197

Advanced Anesthesia Group, PLLC

Organisation Anesthesiology Physician Martinsburg, WV

Practice location

Address: 1006 Tavern Rd, Martinsburg, WV 25401-2864
Phone: (304) 267-5141
Fax: (304) 267-5140
Mailing address: PO Box 62556, Baltimore, MD 21264-2556

Authorised official

Name: Duong Thai Ly
Title: Sole Proprietor
Phone: (304) 267-5141

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in West Virginia →

Registry record

NPI: 1619284197
Entity type: Organization
NPI issued: 7 Sep 2010
Record last updated: 5 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.