| NPI | 1790903631 |
|---|---|
| Other Name | EASTERN SPORTS MEDICINE & ORTHOPAEDIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNINE WILLS Manager 410-574-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |