Vestinia Madonna Bridges in Clinton - Sports Medicine

Vestinia Madonna Bridges - NPI 1609808773

Vestinia Madonna Bridges is a Sports Medicine in Clinton, Maryland. Vestinia Madonna Bridges practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Vestinia Madonna Bridges is 1609808773. The last update date is 2013-01-28.

Vestinia Madonna Bridges's current location address is 8926 Woodyard Road, Clinton, Maryland. You can contact this provider via phone number 3018561682 and fax number 3018560964. The mailing address for Vestinia Madonna Bridges is 8926 Woodyard Road, Clinton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Vestinia Madonna Bridges
Address 8926 Woodyard Road, Clinton, Maryland
Phone Number 3018561682
Fax Number 3018560964
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1609808773
Provider Enumeration Date 2006-07-07
Last Updated Date 2013-01-28

Provider Mailing Address Detail

Address 8926 Woodyard Road
City Clinton
State Maryland (MD)
Post Code 20735
Phone Number 3018561682
Fax Number 3018560964

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 101231874
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00109905 MEDICARE RAILROAD PTAN #
46950011 DC BCBS NCA PROVIDER#

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FAQs about Vestinia Madonna Bridges

What is the Vestinia Madonna Bridges's 1609808773?

The Vestinia Madonna Bridges's NPI (National Provider Identifier) Number is 1609808773. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Vestinia Madonna Bridges's physical address?

The Vestinia Madonna Bridges is physically located at 8926 Woodyard Road, in the city of Clinton, MD, with the postal code 20735.

What is Vestinia Madonna Bridges's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vestinia Madonna Bridges's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1609808773 to Vestinia Madonna Bridges?

The Centers for Medicare & Medicaid Services assigned the 1609808773 to Vestinia Madonna Bridges on 2006-07-07.

When was the information pertaining to Vestinia Madonna Bridges most recently updated or revised?

The details related to Vestinia Madonna Bridges, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-28.

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