Organization
OB-GYN SPECIALISTS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M VAN BLARGAN (OFFICE MANAGER)
(410) 832-5511
Entity
Organization
Contact information
Practice address
100 WEST RD STE 404, TOWSON, MD 21204-2368
(410) 832-5511
(410) 832-5560
Mailing address
100 WEST RD STE 404, TOWSON, MD 21204-2368
(410) 832-5511
(410) 832-5560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
07/17/2014
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