Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Maryland Institute of Plastic Surgery
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
300 FREDERICK ROAD, SUITE 200, CATONSVILLE, MD 21228-4712
(410) 744-0900
Mailing address
300 FREDERICK ROAD, SUITE 200, CATONSVILLE, MD 21228-4712
(410) 744-0900
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/31/2024
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