Organization
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Active
Parent organization
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Other names
Ruxton Orthotics & Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Authorized official
RENEE MATTHEWS (CEO)
(410) 337-7900
Entity
Organization
Contact information
Practice address
8322 BELLONA AVE STE 204, TOWSON, MD 21204-2065
(410) 337-7900
Mailing address
8322 BELLONA AVE STE 204, TOWSON, MD 21204-2065
(410) 337-7900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4216709
—
MD
Enumeration date
05/21/2019
Last updated
05/21/2019
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