Organization
BALTIMORE WASHINGTON MEDICAL CENTER INC.
Active
Other names
BWMC Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN PAESCH (DIRECTOR)
(410) 787-4879
Entity
Organization
Contact information
Practice address
301 HOSPITAL DR, SECOND FLOOR, GLEN BURNIE, MD 21061-5803
(410) 787-4627
Mailing address
PO BOX 62486, BALTIMORE, MD 21264-2486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171484
MEDICARE PTAN NUMBER
MD
01
—
ZFSE
MEDICARE GROUP
MD
Enumeration date
11/20/2009
Last updated
02/17/2010
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