Organization
EYE PHYSICIANS OF ST MARY'S
Active
Parent organization
ST. MARY'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S HOSPITAL
Authorized official
RICHARD BRAAM (CFO)
(215) 830-9991
Entity
Organization
Contact information
Practice address
37767 MARKET STREET, CHARLOTTE HALL, MD 20622-3188
(218) 830-9991
Mailing address
PO BOX 20431, BALTIMORE, MD 21284-0431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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