Individual
SANJOG KUMAR MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10700 CHARTER DR, STE 100, COLUMBIA, MD 21044-3631
(410) 992-7800
(410) 730-2190
Mailing address
10700 CHARTER DR STE 100, COLUMBIA, MD 21044-3631
(410) 992-7800
(410) 720-2190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D47086
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D47086
MD
Other
Enumeration date
06/09/2005
Last updated
02/22/2023
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