Provider Demographics
NPI:1699870659
Name:MARYLAND PEDIATRIC ORTHOPAEDIC CENTER
Entity type:Organization
Organization Name:MARYLAND PEDIATRIC ORTHOPAEDIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-829-5860
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-0883
Mailing Address - Country:US
Mailing Address - Phone:301-829-5860
Mailing Address - Fax:301-829-5820
Practice Address - Street 1:1502 S MAIN ST
Practice Address - Street 2:#205
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-5325
Practice Address - Country:US
Practice Address - Phone:301-829-5860
Practice Address - Fax:301-829-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056901174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty