Justin D Waltrous MD

NPI 1679890636 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1679890636
Gender Male
Enumeration Date 04/29/2010
Last Updated 02/18/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
7610 PENNSYLVANIA AVE
STE 200
DISTRICT HEIGHTS MD, 20747-4701, US
Phone (301) 817-3001
Fax
Business Location
8701 HAYSHED LN APT 34
COLUMBIA MD, 21045-2841, US
Phone (240) 460-4661
Fax
Toxanomy
Taxonomy Code 208100000X
License State Maryland
License Number D77249
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According to our database, Dr. Justin D Waltrous MD NPI is 1679890636, taxonomy code is 208100000X and license number is D77249, license state is located at Maryland. Justin D Waltrous MD physically located at 7610 Pennsylvania Ave, District Heights MD, 20747-4701. NPI Number Justin D Waltrous MD has the Individual type.

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1679890636 NPI number is provided on an as is basis without warranty of any kind. 1679890636 is maintained by the National Plan & Provider Enumeration System. The contents of Justin D Waltrous MD are for informational purposes only.