Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 26, 2020
License(s)
D0103470 (MD)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2401 W BELVEDERE AVE | Baltimore, MD 21215-5216 | 410-601-2663 |
| LOCATION | 2401 W BELVEDERE AVE | Baltimore, MD 21215-5216 | 410-601-2663 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.