Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALVIN J DETTERLINE IV, MD
ActiveDR. ALVIN J DETTERLINE IV, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in TOWSON, Maryland. NPI 1316093180 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · TOWSON, MD
Registration Details
- NPI Number
- 1316093180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.578490069949 yrs)
- Last Updated
- Nov 13, 2013
- Licenses
-
35-088976 (OH)D0067412 (MD)
Practice Information
- Address
-
8322 BELLONA AVESUITE 100TOWSON, MD, 212042065Browse MD providers · Browse ZIP 21204
- Phone
- 4103377900
- Fax
- 4108211334
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.