Organization
BRIAN C. DE MUTH, M.D., PA
Active
Other names
Chesapeake Sports & Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHARLES DE MUTH M.D. (OWNER)
(410) 939-3400
Entity
Organization
Contact information
Practice address
251 LEWIS LN STE 103, HAVRE DE GRACE, MD 21078-3752
(410) 939-3400
(410) 939-6400
Mailing address
210 CHESAPEAKE BLVD, ELKTON, MD 21921-6395
(410) 398-3868
(410) 620-3686
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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