Individual
DR. JOHN PHILIP BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8926 WOODYARD ROAD, SUITE 701, CLINTON, MD 20735
(301) 856-1682
(301) 856-0964
Mailing address
8926 WOODYARD ROAD, SUITE 701, CLINTON, MD 20735
(301) 856-1682
(301) 856-0964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101045693
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0040832
MD
207X00000X
Orthopaedic Surgery Physician
MD19079
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200028340
RAILROAD MEDICARE
MD
01
—
46950009
BCBS PROVIDER #
DC
01
—
52 1054342
TAX ID #
—
Enumeration date
07/05/2006
Last updated
12/07/2010
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