Organization
VA MEDICAL CENTER-BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONETTE ROMERO INGRAM MSN (CRNP)
(410) 605-7000
Entity
Organization
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
R146458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
VAMHCS UPIN
MD
Enumeration date
10/24/2006
Last updated
06/24/2008
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