Organization
GEORGE T. GRACE, M.D. SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE T. GRACE M.D. (CEO)
(410) 744-0900
Entity
Organization
Contact information
Practice address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Mailing address
300 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4665
(410) 744-0900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1300
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026O
BLUE CROSS BLUE SHIELD
MD
01
—
2188425
AETNA HMO
MD
01
—
283469
MAMSI
MD
01
—
58910
JOHNS HOPKINS HEALTH PLAN
MD
01
—
7594024
AETNA
MD
01
—
841431 01
BC BS NATIONAL ACCOUNTS
MD
01
—
RW2
FEDERAL BLUE CROSS
MD
Enumeration date
06/14/2007
Last updated
08/22/2020
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