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Organization

JOHNS HOPKINS HEALTH SYSTEM

Active
Other names
Hopkins Elder Plus
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD J WERTHMAN (VP, FINANCE, TREASURER, CFO, JHHS)
(410) 955-6552
Entity
Organization

Contact information

Practice address
4940 EASTERN AVE, MFL BLDG, FIRST FLOOR, EAST, BALTIMORE, MD 21224-2735
(410) 550-7044
(410) 550-7045
Mailing address
4940 EASTERN AVE, MFL BLDG, 1ST FLOOR, EAST, BALTIMORE, MD 21224-2735
(443) 997-0001
(443) 997-0011

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409639800
MD
05
409642800
MD
Enumeration date
11/15/2006
Last updated
03/10/2015
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