Organization
UNIVERSITY OF MD OBSTETRICAL AND GYNECOLOGICAL ASSO. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA A HYNSON (BILLING MANAGER)
(667) 214-1314
Entity
Organization
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(667) 214-1300
(410) 328-3379
Mailing address
PO BOX 64551, BALTIMORE, MD 21264-4551
(667) 214-1301
(410) 328-3379
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969081600
—
MD
01
—
H590
MEDICARE PTAN
MD
Enumeration date
07/06/2006
Last updated
01/18/2024
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