Organization
ADVANCED CENTERS FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Active
Parent organization
ADVANCED CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Authorized official
GEOFF FAILLA (CEO)
(410) 484-8088
Entity
Organization
Contact information
Practice address
1 VILLAGE SQ, WESTMINSTER, MD 21157-6145
(410) 876-8077
(410) 876-8154
Mailing address
PO BOX 759190, BALTIMORE, MD 21275-9190
(410) 484-8088
(410) 581-9485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1251R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1251R
LICENSE #
MD
Enumeration date
10/26/2006
Last updated
02/05/2008
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