Ashley, Inc.
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Bel Air, MD
NPI 1982253407 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1982253407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- ASHLEY, INC.
- Practice address
- 802 Bel Air Rd Ste 104
Bel Air, MD 21014-4212 - Phone
- (443) 760-3456
- NPI assigned
- Sep 6, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ASHLEY, INC.
Authorized official
- Name
- Richard Thomas Przywara
- Title
- Sr VP of Operations
- Phone
- (410) 273-2266
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Ashley Inc
- Part of
- Ashley Inc
Locations
802 Bel Air Rd
Ste 104
Bel Air, MD 21014
Phone (443) 760-3456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
802 Bel Air Rd Ste 104
Bel Air, MD 21014-4212
Mailing address
800 Tydings LN
Havre de Grace, MD 21078-2102
Other names
- Ashley Addiction Treatment
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All providers in Bel Air, MD · Addiction Medicine (Family Medicine) Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.