Organization
GEORGE THOMAS GRACE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS GRACE M.D. (OWNER)
(410) 744-0900
Entity
Organization
Contact information
Practice address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Mailing address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383691600
—
MD
01
—
CH9600
RAILROAD MEDICARE
MD
Enumeration date
03/20/2007
Last updated
05/13/2008
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