| Roland Park Place Health Care Corporation | |
|
830 W 40th St Baltimore MD 21211-2116 | |
| (410) 243-5800 | |
| (410) 243-4763 |
| Full Name | Roland Park Place Health Care Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 830 W 40th St, Baltimore, Maryland |
| Authorized Official Name and Position | Keith Spillane (VICE PRESIDENT) |
| Authorized Official Contact | 4102436815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Park Place Health Care Corporation 830 W 40th St Baltimore MD 21211-2116 Ph: (410) 243-5800 | Roland Park Place Health Care Corporation 830 W 40th St Baltimore MD 21211-2116 Ph: (410) 243-5800 |
| NPI Number | 1841374857 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 12/12/2013 |
| Medicare PECOS PAC ID | 8628043692 |
|---|---|
| Medicare Enrollment ID | O20040901000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841374857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 30090 (Maryland) | Primary |
| Provider Name | Hilary I Don |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255499273 PECOS PAC ID: 0143266148 Enrollment ID: I20050825000800 |
| Provider Name | Mary Frances Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578622346 PECOS PAC ID: 7810998234 Enrollment ID: I20070126000394 |
| Provider Name | Barbara M Resnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942205380 PECOS PAC ID: 2961663398 Enrollment ID: I20120412000037 |
| Provider Name | Chantal Youssef |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013204171 PECOS PAC ID: 7416178033 Enrollment ID: I20141105001545 |
| Provider Name | Jennifer Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606193 PECOS PAC ID: 7517208416 Enrollment ID: I20190402001808 |
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