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Organization

GREATER BALTIMORE MEDICAL CENTER, INC.

Active
Other names
PEDIATRICS/NICU GBMC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAURIE BEYER (EXECUTIVE VICE PRESIDENT & CFO)
(443) 849-2519
Entity
Organization

Contact information

Practice address
6701 N CHARLES ST, DEPT OF PEDIATRICS & NEWBORN MEDICINE, BALTIMORE, MD 21204-6808
(443) 849-2780
Mailing address
6701 N CHARLES ST, MANAGED CARE, SOUTH CHAPMAN BLDG, STE 102, BALTIMORE, MD 21204-6808
(443) 849-2435

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080N0001X
Neonatal-Perinatal Medicine Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363LN0000X
Neonatal Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122522700
MD
01
S139
CAREFIRST REGIONAL
MD
Enumeration date
12/11/2006
Last updated
04/16/2025
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