Organization
MARYLAND SPORTS, SPINE AND MUSCULOSKELETAL INSTITUTE
Active
Other names
MSSMI
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WALTROUS MD (OWNER)
(410) 302-0561
Entity
Organization
Contact information
Practice address
8096 EDWIN RAYNOR BLVD STE C, PASADENA, MD 21122-6837
(240) 460-4661
Mailing address
3375 ELLICOTT CENTER DRIVE, PO BOX 540, ELLICOTT CITY, MD 21043
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0077249
MD
Other
Enumeration date
09/06/2017
Last updated
02/06/2026
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