Organization
ORTHOPAEDIC SPECIALISTS OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE CHEATHAM (OFFICE MANAGER)
(410) 583-0160
Entity
Organization
Contact information
Practice address
6565 N CHARLES ST, SUITE 606, BALTIMORE, MD 21204-6800
(410) 583-0160
(410) 538-0166
Mailing address
6565 N CHARLES ST, SUITE 606, BALTIMORE, MD 21204-6800
(410) 583-0160
(410) 538-0166
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0990
RAILROAD MEDICARE
GA
01
—
KP16OR
CAREFIRST MARYLAND
MD
01
—
T441
CAREFIRST DC
DC
Enumeration date
07/05/2006
Last updated
11/05/2007
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