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Organization
ORTHOPAEDIC GROUP OF WESTERN MARYLAND
Active
Organization
ORTHOPAEDIC GROUP OF WESTERN MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK W HARVEY M.D. (PRESIDENT)
(301) 724-7146
Entity
Organization
Contact information
Practice address
925 SETON DR, CUMBERLAND, MD 21502-1817
(301) 724-7146
(301) 724-1603
Mailing address
925 SETON DR, CUMBERLAND, MD 21502-1817
(301) 724-7146
(301) 724-1603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0935010001
ADMINASTAR DME
MD
01
—
178044
HIGHMARK
MD
01
—
CF4969
PALMETTO GBA
MD
01
—
H615OR
CAREFIRST BC BS OF MD
MD
Enumeration date
06/16/2005
Last updated
07/21/2022
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