| |
9000 Franklin Square Dr Women's Pavilion Baltimore MD 21237-3901 | |
(443) 777-8005 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 9000 Franklin Square Dr, Baltimore, Maryland |
Authorized Official Name and Position | Lisa Sharkey (MANAGER, PROFESSIONAL FEE BILLING) |
Authorized Official Contact | 4437777142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9000 Franklin Square Dr Women's Pavilion Baltimore MD 21237-3901 Ph: (443) 777-8005 | 9000 Franklin Square Dr Women's Pavilion Baltimore MD 21237-3901 Ph: (443) 777-8005 |
NPI Number | 1326069279 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 05/26/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326069279 | NPI | - | NPPES |
P362 | Other | MD | CAREFIRST BC/BS DC |
DA2021 | Other | MD | RAILROAD MEDICARE |
412601700 | Medicaid | MD | |
F0BDFR | Other | MD | CAREFIRST BC/BS |
KDW5FR | Other | MD | CAREFIRST BC/BS |
G496 | Other | MD | CAREFIRST BC/BS DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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