| Greater Baltimore Medical Center, Inc. | |
|
6535 N Charles St Ste 100 Baltimore MD 21204-5828 | |
| (443) 849-2707 | |
| Not Available |
| Full Name | Greater Baltimore Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6535 N Charles St Ste 100, Baltimore, Maryland |
| Authorized Official Name and Position | Laurie Beyer (EVP & CFO) |
| Authorized Official Contact | 4438492519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Baltimore Medical Center, Inc. 6701 N Charles Street S Chapman Building Ste 102 Baltimore MD 21204 Ph: (443) 849-2459 | Greater Baltimore Medical Center, Inc. 6535 N Charles St Ste 100 Baltimore MD 21204-5828 Ph: (443) 849-2707 |
| NPI Number | 1275355828 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275355828 | NPI | - | NPPES |
| 532129800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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