Organization
MARYLAND NEUROMUSCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK ALWYN FOX MD (PRESIDENT)
(443) 524-0885
Entity
Organization
Contact information
Practice address
11055 LITTLE PATUXENT PKWY STE 203, COLUMBIA, MD 21044-2898
(443) 524-0885
(443) 524-0887
Mailing address
11055 LITTLE PATUXENT PKWY STE 203, COLUMBIA, MD 21044-2898
(443) 524-0885
(443) 524-0887
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
02/21/2025
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