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, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FY01GO
CAREFIRST BC/BS MD
MD
Enumeration date
08/20/2009
Last updated
03/15/2010
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