| Gbmc, Inc.-neurology | |
|
6701 N Charles St Dept Of Neurology Baltimore MD 21204-6808 | |
| (443) 849-2000 | |
| Not Available |
| Full Name | Gbmc, Inc.-neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6701 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Laurie Beyer (VICE PRESIDENT & CFO) |
| Authorized Official Contact | 4438492519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gbmc, Inc.-neurology Po Box 631568 Baltimore MD 21263-1568 Ph: () - | Gbmc, Inc.-neurology 6701 N Charles St Dept Of Neurology Baltimore MD 21204-6808 Ph: (443) 849-2000 |
| NPI Number | 1861417545 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861417545 | NPI | - | NPPES |
| S122 | Other | MD | CAREFIRST REGIONAL |
| 236201500 | Medicaid | MD | |
| KJ36GB | Other | MD | CAREFIRST MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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