Organization · NPI-2
Adv Cntrs For Ortho Surg & Sports Med
Department of Veterans Affairs (VA) Pharmacy · Owings Mills, MD
NPI number1649461807
StatusActive
Last updated in NPPESMay 15, 2012
Details
- NPI
- 1649461807
- Entity type
- Organization (NPI-2)
- Legal business name
- Adv Cntrs For Ortho Surg & Sports Med
- Organization subpart
- No
- Enumeration date
- Aug 5, 2007
- Last updated
- May 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332100000X | Department of Veterans Affairs (VA) Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
10 Crossroads DriveSuite 210
Owings Mills, MD 21117
Phone 410-484-8088 · Fax 410-581-9134
Mailing address
10 Crossroads DriveSuite 210
Owings Mills, MD 21117
Phone 410-484-8088 · Fax 410-581-9134
Authorized official
Julianne Rene Seda
Practice Operations Liaison
4104848088
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