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Organization
BRIAN C. DE MUTH M.D., PA
Active
Organization
BRIAN C. DE MUTH M.D., PA
Active
Other names
Chesapeake Sports & Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHARLES DE MUTH M.D. (PHYSICIAN)
(410) 939-3400
Entity
Organization
Contact information
Practice address
251 LEWIS LN, SUITE103, HAVRE DE GRACE, MD 21078-3751
(410) 939-3400
(410) 939-6400
Mailing address
251 LEWIS LN, SUITE 103, HAVRE DE GRACE, MD 21078-3751
(410) 939-3400
(410) 939-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D50790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522110201
—
MD
Enumeration date
01/25/2007
Last updated
05/21/2013
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