Organization
MT WASHINGTON PEDIATRIC HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY D MILLER (DIRECTOR OF FINANCE)
(410) 578-5163
Entity
Organization
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209
(410) 578-8600
(410) 578-0566
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209
(410) 578-8600
(410) 578-0566
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
30-026
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000575400
—
MD
Enumeration date
09/12/2006
Last updated
06/27/2011
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