Organization
UNIVERISTY OF MARYLAND MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GOTTLEIB MD (VICE PRESIDENT AND CHIEF MEDICAL)
(410) 328-6858
Entity
Organization
Contact information
Practice address
29 S GREENE ST # GS100, BALTIMORE, MD 21201-1504
(410) 328-6435
Mailing address
6515 BLVD EAST APT 6G, WEST NEW YORK, NJ 07093-4205
(917) 504-9441
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
01069523A
IN
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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