Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC.
Active
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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