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Organization
ORTHOPAEDIC ASSOCIATES OF CENTRAL MD, PA
Active
Organization
ORTHOPAEDIC ASSOCIATES OF CENTRAL MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D. MADDOCK (CEO)
(410) 644-1880
Entity
Organization
Contact information
Practice address
3421 BENSON AVENUE, SUITE 100, BALTIMORE, MD 21227
(410) 644-1880
(410) 644-6048
Mailing address
3421 BENSON AVENUE, SUITE 100, BALTIMORE, MD 21227
(410) 644-1880
(410) 644-6048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910001600
—
MD
Enumeration date
06/01/2005
Last updated
03/04/2013
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