Organization
ADV CNTRS FOR ORTHO SURG & SPORTS MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIANNE RENE SEDA (PRACTICE OPERATIONS LIAISON)
(410) 484-8088
Entity
Organization
Contact information
Practice address
10 CROSSROADS DRIVE, SUITE 210, OWINGS MILLS, MD 21117
(410) 484-8088
(410) 581-9134
Mailing address
10 CROSSROADS DRIVE, SUITE 210, OWINGS MILLS, MD 21117
(410) 484-8088
(410) 581-9134
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/05/2007
Last updated
05/15/2012
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