Organization
MATERNITY PARTNERS
Active
Other names
Blue Goose Partners, Maternity Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAGNER (CEO)
(410) 703-3987
Entity
Organization
Contact information
Practice address
220 WILTSHIRE LN, SEVERNA PARK, MD 21146-4039
(410) 703-3987
Mailing address
220 WILTSHIRE LN, SEVERNA PARK, MD 21146-4039
(410) 703-3987
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
06/25/2024
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