# GREATER BALTIMORE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GBMC at Padonia Rd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154143345
- **Authorized official:** LAURIE R BEYER (EVP & CFO)
- **Authorized official phone:** (443) 849-2519

## Contact information

- **Practice address:** 63 E PADONIA RD, TIMONIUM, MD 21093-2306
- **Practice address phone:** (443) 589-5252
- **Mailing address:** 6701 N. CHARLES STREET, S. CHAPMAN BUILDING, SUITE 102, BALTIMORE, MD 21204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 12/16/2024