Organization
MARYLAND SPINE CENTER CHARTERED
Active
Other names
Maryland Spine Center at Ellicott City
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARDS II (MEDICAL DIRECTOR)
(410) 539-3434
Entity
Organization
Contact information
Practice address
3290 N RIDGE RD STE 220, ELLICOTT CITY, MD 21043-3657
(410) 539-3434
(410) 539-3550
Mailing address
301 ST PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2963
(410) 332-9789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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