# ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic and Sports Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972279974
- **Authorized official:** PETER ODENWALD (VP PHYSICIAN SERVICES)
- **Authorized official phone:** (443) 481-6415

## Contact information

- **Practice address:** 161 JENNIFER RD STE A, ANNAPOLIS, MD 21401-3367
- **Practice address phone:** (443) 481-1140
- **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 |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2021