Organization Name: | EDWARD S ORMAN DPM PA |
NPI Number: | 1962407726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD STEVEN ORMAN (PRESIDENT/MEDICAL DIRECTOR) |
Mailing Address: | 5009 Honeygo Center Dr Suite 213 Perry Hall |
State: | MD US |
Postal Code: | 211289815 |
Phone Number: | 4105294141 |
Fax Number: | 4105290801 |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | A1242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |