Provider Demographics
NPI:1023674827
Name:ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Entity type:Organization
Organization Name:ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:VERKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-295-8900
Mailing Address - Street 1:PO BOX 12522
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28438 MARLBORO AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2732
Practice Address - Country:US
Practice Address - Phone:410-822-2440
Practice Address - Fax:410-819-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies