Organization
SAINT PAUL PLACE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A EDWARDS (SR, VP)
(410) 951-1773
Entity
Organization
Contact information
Practice address
301 SAINT PAUL PL, POB 802, BALTIMORE, MD 21202-2102
(410) 332-9654
(410) 685-8975
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KV53ST
BC / BS OF MD
MD
01
—
S186
BLUECHOICE
MD
Enumeration date
06/09/2006
Last updated
08/22/2020
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