Organization
BALTIMORE SURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEN J. FARHA M.D. (PRESIDENT)
(410) 321-8720
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST, SUITE 655B, BALTIMORE, MD 21218-2867
(410) 321-8720
(410) 321-8723
Mailing address
PO BOX 10714, TOWSON, MD 21285
(410) 321-8720
(410) 321-8723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649601601
—
MD
01
—
CH7837
RAILROAD MEDICARE
GA
01
—
E565
CAREFIRST
DC
01
—
KL92BA
CAREFIRST
MD
Enumeration date
11/15/2006
Last updated
01/31/2011
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