Organization · NPI-2

Bay Area Orthopaedics & Sports Medicine

Specialist · Bowie, MD

NPI number1689979171
StatusActive
Last updated in NPPESSep 27, 2011

Details

NPI
1689979171
Entity type
Organization (NPI-2)
Legal business name
Bay Area Orthopaedics & Sports Medicine
Organization subpart
No
Enumeration date
Jan 14, 2011
Last updated
Sep 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist–MDYes
332B00000X Durable Medical Equipment & Medical Supplies–MD
335E00000X Prosthetic/Orthotic Supplier–MD

Practice location

4201 Northview Dr
Suite 101
Bowie, MD 20716-2604

Phone 301-262-6066 · Fax 301-266-7447

Mailing address

1600 Crain Hwy S
Suite 401
Glen Burnie, MD 21061-5577

Phone 410-768-5050 · Fax 410-768-7830

Authorized official

Stephen D Brown
President
3012626066

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