Organization
ORTHOPAEDIC ASSOCIATES OF CENTRAL MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D. MADDOCK (CEO)
(410) 644-1880
Entity
Organization
Contact information
Practice address
3421 BENSON AVENUE, SUITE 100, BALTIMORE, MD 21227
(410) 644-1880
(410) 644-6048
Mailing address
3421 BENSON AVENUE, SUITE 100, BALTIMORE, MD 21227
(410) 644-1880
(410) 644-6048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910001600
—
MD
Enumeration date
06/01/2005
Last updated
03/04/2013
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