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Organization

STATE OF MARLYAND

Active
Other names
UMBC University Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER LEPUS M.A. (HEALTH CENTER DIRECTOR)
(410) 455-3751
Entity
Organization

Contact information

Practice address
1000 HILLTOP CIR, BALTIMORE, MD 21250-0001
(410) 455-2543
(410) 455-1125
Mailing address
1000 HILLTOP CIR, BALTIMORE, MD 21250-0001
(410) 455-2543
(410) 455-1125

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083837
AETNA HMO PROVIDER
MD
01
54256405
BCBS RENDERING PROVIDER
MD
01
7719711
AETNA INDEMNITY PROVIDER
MD
01
9571898
CIGNA PROVIDER NUMBER
MD
Enumeration date
03/26/2007
Last updated
08/22/2020
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