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Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Active
Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V. P. OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, RMB, SUITE 405, BALTIMORE, MD 21239-2905
(443) 444-4764
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KU88GO
CAREFIRST BC/BS MD
MD
01
—
M913
CAREFIRST BC/BS DC
MD
Enumeration date
08/20/2009
Last updated
08/20/2009
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