| NPI | 1972279974 |
|---|---|
| Doing Business As | ORTHOPEDIC AND SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD VP Physician Services 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |