Organization
BRAIN & SPINE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO ERMEL BENALCAZAR MD (OWNER)
(410) 601-0540
Entity
Organization
Contact information
Practice address
2411 W BELVEDARE AVENUE, SUITE 502, BALTIMORE, ME 21215-5228
(410) 601-0540
(410) 601-0541
Mailing address
2411 W BELVEDARE AVENUE, SUITE 502, BALTIMORE, ME 21215-5228
(410) 601-0540
(410) 601-0541
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0056356
MD
Other
Enumeration date
06/03/2006
Last updated
03/25/2008
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