Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Parent organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Other names
GBMC, Inc.-Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Authorized official
LAURIE BEYER (VICE PRESIDENT & CFO)
(443) 849-2519
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST, DEPT OF NEUROLOGY, BALTIMORE, MD 21204-6808
(443) 849-2000
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236201500
—
MD
01
—
KJ36GB
CAREFIRST MARYLAND
MD
01
—
S122
CAREFIRST REGIONAL
MD
Enumeration date
07/13/2006
Last updated
06/05/2023
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