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Contact Information

ANTONIADES ORTHOPAEDICS, LLC
3449 WILKENS AVE
STE 107
BALTIMORE, MD21229-5281
 Phone: 410-368-9992
 Fax: 410-368-9997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANTONIADES ORTHOPAEDICS, LLC

NPI # 1710913934
LBN Legal business name ANTONIADES ORTHOPAEDICS, LLC
Authorized official JOHN ANTONIADES - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2006
Last updated 10/22/2012 - About 14 years ago
Identifiers
MD Other 873AAN BC / BS OF MD
MD Other J817 BLUECHOICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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