Organization
UNIVERSITY OF MARYLAND PHYSICIANS PA
Active
Other names
UNIVERSITY OF MARYLAND MEDICAL GROUP - GASTROENTEROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE ANN BUHRMAN (DIRECTOR OF PROFESSIONAL FEES)
(410) 328-8040
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8040
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548210156
—
DE
01
—
4005765
BLUE CROSS/BLUE SHIELD
TN
05
—
8183201
—
NJ
Enumeration date
05/12/2006
Last updated
03/25/2008
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