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Organization

TOWSON UNIVERSITY SPORTS MEDICINE

Active
Parent organization
TOWSON UNIVERSITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOWSON UNIVERSITY
Authorized official
NATHAN WILDER (DIRECTOR OF SPORTS MEDICINE)
(410) 704-3606
Entity
Organization

Contact information

Practice address
8000 YORK RD, FIELD HOUSE 101, TOWSON, MD 21252-0001
(410) 704-2707
(410) 704-2727
Mailing address
8000 YORK RD, FIELD HOUSE 101, TOWSON, MD 21252-0001
(410) 704-2707
(410) 704-2727

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24645
MD

Other

Enumeration date
05/23/2014
Last updated
06/15/2015
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