St. Joseph Physician Enterprise | |
7601 Osler Dr Towson MD 21204-7700 | |
(800) 332-1600 | |
Not Available |
Full Name | St. Joseph Physician Enterprise |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 7601 Osler Dr, Towson, Maryland |
Authorized Official Name and Position | Richard Imbimbo (CFO) |
Authorized Official Contact | 4103371602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Joseph Physician Enterprise Po Box 79944 Baltimore MD 21279-0944 Ph: () - | St. Joseph Physician Enterprise 7601 Osler Dr Towson MD 21204-7700 Ph: (800) 332-1600 |
NPI Number | 1518143304 |
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Provider Enumeration Date | 01/11/2008 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518143304 | NPI | - | NPPES |
415806700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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