Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes OBGYN Wilkens Ave
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
3449 WILKENS AVE STE 300, BALTIMORE, MD 21229-5218
(410) 644-2582
Mailing address
3449 WILKENS AVE STE 300, BALTIMORE, MD 21229-5218
(410) 644-2582
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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