Provider Demographics
NPI:1861050619
Name:ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Entity type:Organization
Organization Name:ORTHOPEDIC PHYSICIANS OF ANNAPOLIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EX DIR PHYSICIAN REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-481-6521
Mailing Address - Street 1:PO BOX 12522
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4016
Mailing Address - Country:US
Mailing Address - Phone:443-481-8862
Mailing Address - Fax:
Practice Address - Street 1:1630 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2792
Practice Address - Country:US
Practice Address - Phone:410-268-8862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty