BLUE WATER PHYSIATRY L L C

CLINTON, MD
NPI1770764490
Entity TypeOrganization
Authorized ContactARTHUR PETER BARLETTA
President
301-877-6110
Organization Subpart ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MD  D0039416)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: MD  D0039416)
Enumeration Date2007-11-21
Last Update Date2012-02-14
Business Address
BLUE WATER PHYSIATRY L L C
7501 SURRATTS ROAD #202
CLINTON, MD 20735-2256
Phone number: 301-877-6110
Mailing Address
BLUE WATER PHYSIATRY L L C
6368 COVENTRY WAY #365
CLINTON, MD 20735-2256
Phone number: 301-877-6110