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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
161 JENNIFER RD STE A, ANNAPOLIS, MD 21401-3367
(443) 481-1140
Mailing address
2001 MEDICAL PKWY OFC, ANNAPOLIS, MD 21401-3773
(443) 481-5618
(443) 481-4151

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

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