Organization
CLIFTON T. PERKINS HOSPITAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARCHIE T. WALLACE (ACTING CHIEF EXECUTIVE OFFICER)
(410) 724-3001
Entity
Organization
Contact information
Practice address
8450 DORSEY RUN RD, JESSUP, MD 20794-9486
(410) 724-3207
Mailing address
8450 DORSEY RUN RD, JESSUP, MD 20794-9486
(410) 724-3207
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
13-001
MD
Other
Enumeration date
08/17/2005
Last updated
08/22/2020
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