Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V.P. OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, POB, SUITE G3, BALTIMORE, MD 21239-2905
(443) 444-4275
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F292HY
CAREFIRST BC/BS MD
MD
01
—
P053
CAREFIRST BC/BS DC
MD
Enumeration date
08/20/2009
Last updated
03/15/2010
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