| NPI | 1497757637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. MADDOCK CEO 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-03-04 |