DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN D WALTROUS, MD

Active Sole Proprietor

DR. JUSTIN D WALTROUS, MD is a Sports Medicine (PM&R) healthcare provider located in PASADENA, Maryland. NPI 1679890636 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · PASADENA, MD

Registration Details

NPI Number
1679890636
Provider Type
Individual
Gender
Male
NPI Issued
Apr 29, 2010 (16.334269105594 yrs)
Last Updated
Feb 6, 2026
License
D77249 (MD)
Sole Proprietor
Yes

Practice Information

Address
8096 EDWIN RAYNOR BLVD STE C
PASADENA, MD, 211226837
Browse MD providers · Browse ZIP 21122
Phone
4437022453
Fax
4437022478
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
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.