Provider Demographics
NPI:1639500093
Name:UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES, PA
Entity Type:Organization
Organization Name:UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-448-7112
Mailing Address - Street 1:PO BOX 64134
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4134
Mailing Address - Country:US
Mailing Address - Phone:410-448-7112
Mailing Address - Fax:410-448-6296
Practice Address - Street 1:4321 HARTWICK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3210
Practice Address - Country:US
Practice Address - Phone:301-403-8811
Practice Address - Fax:301-403-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty