# ST PAUL PLACE SPECIALISTS, INC.

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

## Provider details

- **NPI number:** 1174564736
- **Authorized official:** JUSTIN DEIBEL (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (410) 659-2905

## Contact information

- **Practice address:** 227 SAINT PAUL PLACE, 4TH FLOOR, BALTIMORE, MD 21202-2001
- **Practice address phone:** (410) 783-5858
- **Practice address fax:** (410) 783-5864
- **Mailing address:** PO BOX 824173, PHILADELPHIA, PA 19182-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/18/2024