Organization
BRIAN C. DE MUTH, M.D., PA
Active
Organization
BRIAN C. DE MUTH, M.D., PA
Active
Other names
Chesapeake Sports & Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHARLES DE MUTH M.D. (OWNER)
(610) 869-0234
Entity
Organization
Contact information
Practice address
900 W BALTIMORE PIKE STE 101, WEST GROVE, PA 19390-9313
(610) 869-0234
(610) 869-6544
Mailing address
210 CHESAPEAKE BLVD, ELKTON, MD 21921-6395
(410) 398-3868
(410) 620-3686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD431985
PA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
11/05/2018
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