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Organization
SOUTHERN MARYLAND HOSPITAL, INC.
Active
Organization
SOUTHERN MARYLAND HOSPITAL, INC.
Active
Parent organization
SOUTHERN MARYLAND HOSPITAL, INC.
Other names
Department of Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN MARYLAND HOSPITAL, INC.
Authorized official
MR. CHARLES R. STEWART (CFO)
(301) 877-4541
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413384600
—
MD
01
—
4897, CG1279
CAREFIRST NCA & MARYLAND
MD
Enumeration date
10/19/2007
Last updated
01/12/2009
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