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Organization
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Active
Organization
ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Active
Other names
Orthopedic and Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VP PHYSICIAN SERVICES)
(443) 481-6415
Entity
Organization
Contact information
Practice address
161 JENNIFER RD STE A, ANNAPOLIS, MD 21401-3367
(443) 481-1140
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
(443) 481-5618
(443) 481-4151
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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