Organization
HARBOR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE STEELE-WHITE (CREDENTIALING ASSOCIATE)
(410) 933-3073
Entity
Organization
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529504100
—
MD
Enumeration date
01/30/2009
Last updated
01/30/2009
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