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American Sports And Spine Institute, L.L.C.

Physical Medicine & Rehabilitation, Sports Medicine in Germantown, MD. Organization (NPI-2).

NPI number1508237652
StatusActive
Last updated in NPPESOct 15, 2015

Details

NPI
1508237652
Entity type
Organization (NPI-2)
Legal business name
American Sports And Spine Institute, L.L.C.
Organization subpart
No
Enumeration date
Oct 15, 2015
Last updated
Oct 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine––Yes
207LP2900X Anesthesiology, Pain Medicine––
207X00000X Orthopaedic Surgery––
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine––
207XX0005X Orthopaedic Surgery, Sports Medicine––
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––
208VP0014X Pain Medicine, Interventional Pain Medicine––
363A00000X Physician Assistant––

Practice location

20680 Seneca Meadows Pkwy
Suite 200
Germantown, MD 20876-7022

Phone 240-608-6000 · Fax 240-608-6001

Mailing address

20680 Seneca Meadows Pkwy
Suite 200
Germantown, MD 20876-7022

Phone 240-608-6000 · Fax 240-608-6001

Authorized official

Atif Malik
M.D./ Partner
2406086000

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