Organization
BRIGHTSEAT HEALTH BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HALL (ASST ADMIN)
(301) 423-4551
Entity
Organization
Contact information
Practice address
2972 PENWICK LN, DUNKIRK, MD 20754-9403
(301) 423-4551
Mailing address
4333 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-1848
(301) 423-4551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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