Organization
MEDSTAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE HESSELTON PA (MANAGER)
(443) 777-7415
Entity
Organization
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7415
Mailing address
14116 CASTLE BLVD APT 304, SILVER SPRING, MD 20904-4655
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
C00057779
MD
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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