Organization
BAY AREA ORTHOPAEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAVID BROWN (PRESIDENT)
(410) 768-5050
Entity
Organization
Contact information
Practice address
1600 CRAIN HWY S, SUITE 401, GLEN BURNIE, MD 21061-5577
(410) 768-5050
(410) 768-7830
Mailing address
1600 CRAIN HWY S, SUITE 401, GLEN BURNIE, MD 21061-5577
(410) 768-5050
(410) 768-7830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
335E00000X
Prosthetic/Orthotic Supplier
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408171400
—
MD
01
—
6831
BLUE SHIELD DC
MD
01
—
KE66BA
BLUE SHIELD OF MARYLAND
MD
Enumeration date
08/24/2010
Last updated
07/14/2011
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