Organization
ST PAUL PLACE SPECIALISTS, INC.
Active
Organization
ST PAUL PLACE SPECIALISTS, INC.
Active
Other names
SPPS 345
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEIBEL (EXECUTIVE VICE PRESIDENT/CFO)
(410) 659-2905
Entity
Organization
Contact information
Practice address
345 ST PAUL PLACE, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
301 ST PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2963
(410) 332-9789
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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