Provider Demographics
NPI:1558432765
Name:ALVAREZ & ORTHOPAEDIC ASSOCIATES
Entity Type:Organization
Organization Name:ALVAREZ & ORTHOPAEDIC ASSOCIATES
Other - Org Name:GARRETT COUNTY ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-334-1034
Mailing Address - Street 1:311 N 4TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1395
Mailing Address - Country:US
Mailing Address - Phone:301-334-1034
Mailing Address - Fax:301-334-3350
Practice Address - Street 1:311 N 4TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1395
Practice Address - Country:US
Practice Address - Phone:301-334-1034
Practice Address - Fax:301-334-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKN38Medicare ID - Type Unspecified