Organization
CENTER FOR JOINT SURGERY AND SPORTS MEDICINE
Active
Other names
Altizer-Salvagno Center for Joint Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE LYNN LAING (PRACTICE ADMINISTRATOR)
(301) 665-4575
Entity
Organization
Contact information
Practice address
13 WESTERN MARYLAND PARKWAY, SUITE 104, HAGERSTOWN, MD 21740-5146
(301) 665-4575
(301) 665-4576
Mailing address
13 WESTERN MARYLAND PARKWAY, SUITE 104, HAGERSTOWN, MD 21740-5146
(301) 665-4575
(301) 665-4576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0012569
MD
207X00000X
Orthopaedic Surgery Physician
Primary
D0034975
MD
207X00000X
Orthopaedic Surgery Physician
D0040493
MD
225100000X
Physical Therapist
17351
MD
225100000X
Physical Therapist
19721
MD
225100000X
Physical Therapist
22266
MD
363A00000X
Physician Assistant
C0002450
MD
363A00000X
Physician Assistant
C0003478
MD
363A00000X
Physician Assistant
C0003587
MD
363L00000X
Nurse Practitioner
R118305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923015700
—
MD
Enumeration date
06/03/2006
Last updated
07/09/2012
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