Organization
PULMONARY AND CRITICAL CARE ASSOCIATES OF BALTIMORE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WEST (CEO)
(410) 494-7921
Entity
Organization
Contact information
Practice address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7920
(410) 902-8247
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7920
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577133
AETNA
—
05
—
415836900
—
MD
01
—
420A
BLUE SHIELD
MD
01
—
CC2968
RAILROAD MEDICARE
—
01
—
E554
BLUE CHOICE/FEP
MD
Enumeration date
10/04/2006
Last updated
07/21/2022
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