# ST PAUL PLACE SPECIALISTS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1154362473
- **Authorized official:** JUSTIN DEIBEL (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (410) 659-2905

## Contact information

- **Practice address:** 301 SAINT PAUL PL, \#402 - NEUROLOGY, BALTIMORE, MD 21202-2102
- **Practice address phone:** (410) 347-1891
- **Practice address fax:** (410) 347-1893
- **Mailing address:** PO BOX 64075, BALTIMORE, MD 21264-4075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | D0022874 | MD | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0064021 | MD | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 12/18/2024