# CORRECTIONAL MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093946709
- **Authorized official:** DR. ASRESAHEGN GETACHEW M.D. (STATEWIDE MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 872-8590

## Contact information

- **Practice address:** 7943 BROCK BRIDGE RD, JESSUP, MD 20794-9704
- **Practice address phone:** (410) 379-3873
- **Mailing address:** 7816 FOXFARM LN, GLEN BURNIE, MD 21061-6321
- **Mailing address phone:** (443) 749-4843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | D0058537 | MD | Yes |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 07/30/2009