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Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Other names
PEDIATRICS/NICU GBMC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURIE BEYER (EXECUTIVE VICE PRESIDENT & CFO)
(443) 849-2519
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST, DEPT OF PEDIATRICS & NEWBORN MEDICINE, BALTIMORE, MD 21204-6808
(443) 849-2780
Mailing address
6701 N CHARLES ST, MANAGED CARE, SOUTH CHAPMAN BLDG, STE 102, BALTIMORE, MD 21204-6808
(443) 849-2435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122522700
—
MD
01
—
S139
CAREFIRST REGIONAL
MD
Enumeration date
12/11/2006
Last updated
04/16/2025
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