| NPI | 1023269396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A. STARSONECK Administrative Assistant 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2013-02-21 |