Steve Alan Petersen in Baltimore - Adult Reconstructive Orthopaedic Surgery

Steve Alan Petersen - NPI 1205874385

Steve Alan Petersen is a Adult Reconstructive Orthopaedic Surgery in Baltimore, Maryland. Steve Alan Petersen practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Steve Alan Petersen is 1205874385. The last update date is 2017-01-18.

Steve Alan Petersen's current location address is 5601 Loch Raven Blvd, Baltimore, Maryland. You can contact this provider via phone number 4434444740 and fax number 4434444752. The mailing address for Steve Alan Petersen is 5601 Loch Raven Blvd, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Steve Alan Petersen
Address 5601 Loch Raven Blvd, Baltimore, Maryland
Phone Number 4434444740
Fax Number 4434444752
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205874385
Provider Enumeration Date 2006-06-02
Last Updated Date 2017-01-18

Provider Mailing Address Detail

Address 5601 Loch Raven Blvd
City Baltimore
State Maryland (MD)
Post Code 212392945
Phone Number 4434444740
Fax Number 4434444752

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No D0065131
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12124000 MD --

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FAQs about Steve Alan Petersen

What is the unique 10-digit identifier code assigned to Steve Alan Petersen by the Centers for Medicare & Medicaid Services?

The Steve Alan Petersen has been issued the NPI (National Provider Identifier) 1205874385 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Steve Alan Petersen's facilities are situated?

The facilities of Steve Alan Petersen are physically located at the following address: 5601 Loch Raven Blvd, Baltimore, MD, 212392945.

What is Steve Alan Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Steve Alan Petersen's area of specialization is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0114X.

On what date was the 1205874385 assigned to Steve Alan Petersen?

The Steve Alan Petersen was issued its 1205874385 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Steve Alan Petersen most recently updated or revised?

The details related to Steve Alan Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-18.

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