MEDICARE: MARYLAND PEDIATRIC ORTHOPAEDIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D0056901	MD

General Provider Information

NPI Number	:	1699870659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARYLAND PEDIATRIC ORTHOPAEDIC CENTER

Provider Business Mailing Address
First Line	:	PO BOX 883
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-0883
Country	:	US
Telephone Number	:	301-829-5860
Fax Number	:	301-829-5820

Provider Business Practice Location Address
First Line	:	1502 S MAIN ST
Second Line	:	#205
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5325
Country	:	US
Telephone Number	:	301-829-5860
Fax Number	:	301-829-5820

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREW JAY ABRAMOWITZ
Credential	:
Telephone Number	:	301-829-5860

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/22/2020

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Directions to “MARYLAND PEDIATRIC ORTHOPAEDIC CENTER ” Practice Location

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