OrganizationActive
Advantia Health Spine-Sports & Pain Center of Maryland LLC
NPI 1629447453 · Pain Medicine (Anesthesiology) Physician · Beltsville, MD
Provider details
- NPI number
- 1629447453
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advantia Holdings of Maryland LLC
- Organization subpart
- Yes
- Authorized official
- Peter Glass, Cmo(301) 453-5970
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12240 Indian Creek Ct
Suite 130a
Beltsville, MD 20705-1242
Phone: (571) 327-1334
Fax: (240) 264-8436
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Forest Glen Rd Ste 500
Silver Spring, MD 20910-1467
Registry dates
- Enumerated
- 2015-09-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.