| NPI | 1679139646 |
|---|---|
| Doing Business As | ORTHOPEDIC AND SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |