Organization
SOUTHERN MARYLAND HOSPITAL, INC.
Active
Parent organization
SOUTHERN MARYLAND HOSPITAL, INC.
Other names
Dept. of Obstetrics & Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN MARYLAND HOSPITAL, INC.
Authorized official
MR. CHARLES R. STEWART (CFO)
(301) 877-4541
Entity
Organization
Contact information
Practice address
7503 SURRATTS ROAD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Mailing address
7503 SURRATTS ROAD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410566400
—
MD
01
—
9158, LR78
CAREFIRST BCBS
MD
Enumeration date
10/19/2007
Last updated
11/08/2011
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