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Contact Information

CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC
601 POST OFFICE RD STE 2A
WALDORF, MD20602
 Phone: 240-754-7954
 Fax: 240-754-7958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS LLC · (Female)

NPI Number 1225459936
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2013
Last updated 04/08/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # H67340
  • MD Medicaid 589609600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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