Organization
CHESAPEAKE ORTHOPAEDIC AND SPORTS MEDICINE CENTER PA
Active
Other names
Drs Courtney, Keats & Jaworski PA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY J GAZMEN CMPE (CHIEF EXECUTIVE OFFICER)
(410) 768-5555
Entity
Organization
Contact information
Practice address
200 HOSPITAL DRIVE, GLEN BURNIE, MD 21061
(410) 768-5555
(410) 768-5835
Mailing address
200 HOSPITAL DRIVE, GLEN BURNIE, MD 21061
(410) 768-5555
(410) 768-5835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912851400
—
MD
Enumeration date
11/17/2006
Last updated
08/16/2010
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