Organization
SOUTHERN MARYLAND HOSPITAL, INC
Active
Parent organization
SOUTHERN MARYLAND HOSPITAL,INC.
Other names
Emergency Physicians of Southern Maryland
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN MARYLAND HOSPITAL,INC.
Authorized official
MR. CHARLES R. STEWART CFO (VP OF BUSINESS & FINANCE)
(301) 877-4541
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410782900
—
MD
01
—
J864, 911AER
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
08/10/2005
Last updated
01/12/2009
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