# ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639780505
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT- PHYSICIAN SERVICES)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 7611 CRAIN HWY \# C170, UPPER MARLBORO, MD 20772-4258
- **Practice address phone:** (443) 481-1140
- **Practice address fax:** (410) 729-4526
- **Mailing address:** 2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
- **Mailing address phone:** (443) 481-5618
- **Mailing address fax:** (443) 481-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 08/13/2020