Provider Demographics
NPI:1992854954
Name:BECK, GRIFFITH, CIRILLO, AND PATEL, P.A.
Entity Type:Organization
Organization Name:BECK, GRIFFITH, CIRILLO, AND PATEL, P.A.
Other - Org Name:CALVERT ORTHOPAEDIC AND SPORTS MEDICINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-705-5729
Mailing Address - Street 1:110 HOSPITAL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4019
Mailing Address - Country:US
Mailing Address - Phone:866-705-5729
Mailing Address - Fax:410-535-6954
Practice Address - Street 1:110 HOSPITAL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:866-705-5729
Practice Address - Fax:410-535-6954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCE3173OtherMEDICARE RAILROAD PROV #
MDH993Medicare PIN
MDCE3173OtherMEDICARE RAILROAD PROV #