Blue Water Physiatry L L C

NPI #1770764490 in Clinton, Maryland

Provider Information

NPI Number: 1770764490
Entity Type: Organization
Organization Name: Blue Water Physiatry L L C
Subpart: Yes (part of a larger organization)
Parent Organization: BLUE WATER PHYSIATRY L L C
Primary Specialty: Physical Medicine & Rehabilitation
Enumeration Date: Nov 21, 2007
Last Updated: Feb 14, 2012

Practice Location

Address: 7501 SURRATTS ROAD
Address 2: #202
City: Clinton
State: Maryland
ZIP Code: 20735-2256
Phone: (301) 877-6110

Authorized Official

Name: ARTHUR PETER BARLETTA, MD
Title: PRESIDENT
Phone: (301) 877-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X
Physical Medicine & Rehabilitation	208100000X	Primary

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