Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Parent organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Other names
GBMC, Inc.-Ophthalmology
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Authorized official
MR. ERIC MELCHIOR (EXECUTIVE VICE PRES & CFO)
(443) 849-2519
Entity
Organization
Contact information
Practice address
6569 N CHARLES ST, STE 505, BALTIMORE, MD 21204-6831
(443) 849-2196
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ54
CAREFIRST MARYLAND
MD
01
—
S135
CAREFIRST REGIONAL
MD
01
—
S141
CAREFIRST REGIONAL
MD
Enumeration date
06/29/2006
Last updated
03/27/2008
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