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Organization

ORTHOPAEDIC GROUP OF WESTERN MARYLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK W HARVEY M.D. (PRESIDENT)
(301) 724-7146
Entity
Organization

Contact information

Practice address
925 SETON DR, CUMBERLAND, MD 21502-1817
(301) 724-7146
(301) 724-1603
Mailing address
925 SETON DR, CUMBERLAND, MD 21502-1817
(301) 724-7146
(301) 724-1603

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0935010001
HEALTH NOW NY
MD
01
178044
HIGHMARK
MD
01
CF4969
PALMETTO GBA
MD
01
H615OR
CAREFIRST BC BS OF MD
MD
Enumeration date
06/16/2005
Last updated
07/21/2022
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