Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V. P. OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-2000
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL90
CAREFIRST BLUECROSS/BLUESHIELD MD
MD
Enumeration date
08/20/2009
Last updated
02/18/2010
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