Organization
BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC.
Active
Parent organization
BALTIMORE WASHINGTON MEDICAL CENTER
Other names
THE AIELLO BREAST CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALTIMORE WASHINGTON MEDICAL CENTER
Authorized official
CHARLENE ANN MAYO (PRACTICE MANAGER)
(410) 553-8353
Entity
Organization
Contact information
Practice address
203 HOSPITAL DR, SUITE B100, GLEN BURNIE, MD 21061-6904
(410) 553-8351
(410) 553-8352
Mailing address
203 HOSPITAL DR, SUITE B100, GLEN BURNIE, MD 21061-6904
(410) 553-8351
(410) 553-8352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303080
CIGNA PROVIDER NUMBER
MD
01
—
1622878
UNITED HEALTHCARE PROVIDE
MD
01
—
2131125
MAMSI PROVIDER NUMBER
MD
01
—
33525
JOHN HOPKINS HEALTH CARE
MD
01
—
3767375
AETNA HMO PROVIDER NUMBER
MD
05
—
406923400
—
MD
01
—
5353197
AETNA PPO PROVIDER NUMBER
MH
01
—
645177-01
CAREFIRST BCBS OF MD PROV
MD
01
—
704197
NCPPO PROVIDER NUMBER
MD
01
—
9002247
PRIVATE HEALTHCARE SYSTEM
MD
01
—
DD8312
MEDICARE RAILROAD
MD
01
—
J6860006
CAREFIRST BCBS OF DC PROV
MH
Enumeration date
10/03/2006
Last updated
11/04/2009
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