Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 536 | MD |
NPI | 1083619845 |
---|---|
Provider Name | Edward S Orman |
First Address | Perry Hall, MD 21128-9828 |
Second Address | Perry Hall, MD 21128-9828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 26/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
789858400 | (05) | MD |
T59833 | (02) | MD |