Healthcare Provider Details
I. General information
NPI: 1821954058
Provider Name (Legal Business Name): ORTHOWELL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 N PENNSYLVANIA AVE
HANCOCK MD
21750-1135
US
IV. Provider business mailing address
3 GRAND ST
HANCOCK MD
21750-1208
US
V. Phone/Fax
- Phone: 240-513-6352
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RALPH
THOMAS
SALVAGNO
Title or Position: OWNER
Credential: MD
Phone: 240-313-5714