1972730729 NPI number — ARUNDEL FOOT & ANKLE SURGERY CENTER, LLC

Table of content: AARON CHRISTOPHER HARJU MD (NPI 1578559449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972730729 NPI number — ARUNDEL FOOT & ANKLE SURGERY CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARUNDEL FOOT & ANKLE SURGERY CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972730729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1412 CRAIN HWY N
Provider Second Line Business Mailing Address:
STE 1A
Provider Business Mailing Address City Name:
GLEN BURNIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21061-9306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-760-3999
Provider Business Mailing Address Fax Number:
410-760-3077

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1412 CRAIN HWY N
Provider Second Line Business Practice Location Address:
STE 1A
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061-9306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-760-3999
Provider Business Practice Location Address Fax Number:
410-760-3077
Provider Enumeration Date:
06/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BRAMBLE
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
WERTHEIMER
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-760-3999

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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