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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) 444-8000

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KU88GO
CAREFIRST BC/BS MD
MD
01
M688
CAREFIRST BC/BS DC
MD
Enumeration date
08/20/2009
Last updated
08/20/2009
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