Organization
BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L PAESCH (DIRECTOR)
(410) 787-4879
Entity
Organization
Contact information
Practice address
8601 VETERANS HWY, 204, MILLERSVILLE, MD 21108-1547
(410) 729-0424
(410) 729-0492
Mailing address
8601 VETERANS HWY, 204, MILLERSVILLE, MD 21108-1547
(410) 729-0424
(410) 729-0492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549631400
—
MD
01
—
CC0691
MEDICARE RAIL ROAD
MD
Enumeration date
07/16/2006
Last updated
06/20/2012
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