Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 17, 2008
License(s)
MT193783 (PA), ME125262 (FL), D76896 (MD)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6201 GREENLEIGH AVE | Middle River, MD 21220-2004 | 410-933-6423 |
| LOCATION | 4940 EASTERN AVE | Baltimore, MD 21224-2735 | 410-550-0452 |
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