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Organization

ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC

Active
Other names
Orthopedic and Sports Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ODENWALD (VP PHYSICIAN SERVICES)
(443) 481-6415
Entity
Organization

Contact information

Practice address
820 RITCHIE HWY STE 100, SEVERNA PARK, MD 21146-4111
(443) 481-1140
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
2251H1200X
Hand Physical Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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