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Organization

HARBOR HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOVIND MAHESHWARI (A.V.P)
(410) 350-3636
Entity
Organization

Contact information

Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14ZB
CAREFIRST OF MD
MD
01
435AHA
CAREFIRST OF MD
MD
05
471001100
MD
05
529507600
MD
05
529507601
MD
05
529507602
MD
01
CC0990
RAILROAD MEDICARE
MD
01
KK25HA
CAREFIRST OF MD
MD
Enumeration date
07/23/2006
Last updated
05/20/2010
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