# GREATER BALTIMORE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREATER BALTIMORE MEDICAL CENTER, INC.
- **Other names:** GBMC, Inc.-Ophthalmology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457389413
- **Legal business name:** GREATER BALTIMORE MEDICAL CENTER, INC.
- **Authorized official:** MR. ERIC MELCHIOR (EXECUTIVE VICE PRES & CFO)
- **Authorized official phone:** (443) 849-2519

## Contact information

- **Practice address:** 6569 N CHARLES ST, STE 505, BALTIMORE, MD 21204-6831
- **Practice address phone:** (443) 849-2196
- **Mailing address:** PO BOX 631568, BALTIMORE, MD 21263-1568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 03/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | KJ54 | CAREFIRST MARYLAND | MD |
| 01 | — | S135 | CAREFIRST REGIONAL | MD |
| 01 | — | S141 | CAREFIRST REGIONAL | MD |