Fade to Black Anesthesia Services
Fade to Black Anesthesia Services is an Anesthesiology Physician in Lanham, Maryland. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
7501 Forbes Blvd Ste 103Lanham, MD 20706-6201
Phone: (215) 500-7580
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Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X |
Record details
| NPI number | 1902379928 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rajaee Black — Owner · (215) 500-7580 |
| NPI enumerated | January 3, 2019 |
| Last updated in NPPES | January 3, 2019 |
| Mailing address | Po Box 731, Laurel, MD 20725-0731 |
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