# KOMAN ORTHOPAEDICS AND SPORTS MEDICINE, LLC

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

## Provider details

- **NPI number:** 1679976815
- **Authorized official:** DR. JON DAVID KOMAN MD (OWNER)
- **Authorized official phone:** (410) 833-9300

## Contact information

- **Practice address:** 116 WESTMINSTER PIKE, SUITE 100, REISTERSTOWN, MD 21136-1027
- **Practice address phone:** (410) 833-9300
- **Mailing address:** 116 WESTMINSTER PIKE, SUITE 100, REISTERSTOWN, MD 21136-1027
- **Mailing address phone:** (410) 833-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | D0055676 | MD | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 03/05/2020