Organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Active
Parent organization
GREATER BADEN MEDICAL SERVICE INCORPORATED
Other names
Greater Baden Medical Service at Brandywine - Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BADEN MEDICAL SERVICE INCORPORATED
Authorized official
JEFFREY A KURCAB (CFO)
(301) 599-2172
Entity
Organization
Contact information
Practice address
7450 ALBERT RD FL 1, BRANDYWINE, MD 20613-3035
(301) 836-9645
(301) 579-9034
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-2233
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299004100
—
MD
Enumeration date
05/22/2007
Last updated
07/10/2024
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