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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

NPI # 1225459936
LBN Legal business name CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC
Authorized official MIRIAM RAZAQ - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2013
Last updated 04/08/2022 - About 4 years ago
Identifiers
MD License # H67340
MD Medicaid 589609600
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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