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Organization
MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
Active
Organization
MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
Active
Other names
MSSMI
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WALTROUS MD (OWNER)
(410) 302-0561
Entity
Organization
Contact information
Practice address
8096 EDWIN RAYNOR BLVD STE C, PASADENA, MD 21122-6837
(240) 460-4661
Mailing address
3375 ELLICOTT CENTER DRIVE, PO BOX 540, ELLICOTT CITY, MD 21043
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0077249
MD
Other
Enumeration date
09/06/2017
Last updated
02/06/2026
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