Provider Demographics
NPI: | 1851722318 |
---|---|
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: | 1 TEXAS STATION CT |
Practice Address - Street 2: | SUITE 300 |
Practice Address - City: | TIMONIUM |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21093-8286 |
Practice Address - Country: | US |
Practice Address - Phone: | 410-683-2120 |
Practice Address - Fax: | 410-683-2130 |
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? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty |