Organization
SHEPPARD PRATT NON CONTRACTED SERVICES, LLC
Active
Other names
The Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA JANE SCANLAN (DIRECTOR, PATIENT FISCDAL SERVICES)
(410) 938-5046
Entity
Organization
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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