Organization
HARBOR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BUTLER (VP OF PHYSICIAN BILLING)
(410) 350-3828
Entity
Organization
Contact information
Practice address
8109 RITCHIE HWY, PASADENA, MD 21122-6917
(410) 590-8803
Mailing address
3001 S HANOVER ST, SA114, BALTIMORE, MD 21225-1233
(410) 590-8803
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FMXU03
MEDICARE PTAN
MD
Enumeration date
03/23/2007
Last updated
09/17/2008
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