Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA L. STOUT (V.P. OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D49TGO
CAREFIRST BC/CS MD
MD
Enumeration date
04/13/2010
Last updated
04/13/2010
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