Justin D Waltrous


Address: 8096 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6837

Justin D Waltrous (NPI# 1679890636, PAC ID# 2961706601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1679890636
PAC ID by PECOS 2961706601
Professional Enrollment ID I20160201001945
Full Name Justin D Waltrous
Address 8096 Edwin Raynor Blvd
Suite C
Pasadena
MD 21122-6837
Gender M
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Secondary Specialties SPORTS MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 4104206970 MNR INDUSTRIES LLC
6000 Laurel Bowie Rd, Bowie, MD 20715-4000 3013830330 MNR INDUSTRIES LLC
8096 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6837

Organization Information

Office Location

Street Address 8096 EDWIN RAYNOR BLVD
SUITE C
City PASADENA
State MD
Zip 21122-6837

Physicians in the same location

Name Specialty Organization Address
Michael A Sylva Internal Medicine 8096 Edwin Raynor Blvd, Pasadena, MD 21122-6837

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David Md Fishbein Gastroenterology 8028 Ritchie Hwy, Suite 108, Pasadena, MD 21122-1020
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Competitor

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City PASADENA
Zip Code 21122
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty PASADENA + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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