Organization
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Active
Other names
Ruxton Orthotics & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN NICHOLSON (CFO)
(410) 337-1602
Entity
Organization
Contact information
Practice address
7505 OSLER DR STE 104, TOWSON, MD 21204-7737
(410) 337-8888
(410) 823-4833
Mailing address
8322 BELLONA AVE # 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 769-8591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4216709
—
MD
Enumeration date
07/25/2019
Last updated
07/25/2019
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