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Organization
GEORGE T. GRACE, M.D. SURGERY CENTER
Active
Organization
GEORGE T. GRACE, M.D. SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE T. GRACE M.D. (CEO)
(410) 744-0900
Entity
Organization
Contact information
Practice address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Mailing address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1300
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026O
BLUE CROSS BLUE SHIELD
MD
01
—
2188425
AETNA HMO
MD
01
—
283469
MAMSI
MD
01
—
58910
JOHNS HOPKINS HEALTH PLAN
MD
01
—
7594024
AETNA
MD
01
—
841431 01
BC BS NATIONAL ACCOUNTS
MD
01
—
RW2
FEDERAL BLUE CROSS
MD
Enumeration date
06/14/2007
Last updated
08/22/2020
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