Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Maryland Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. WILLIAM B HIGGINBOTHAM (CREDENTIALING MANAGER)
(667) 234-3162
Entity
Organization
Contact information
Practice address
3407 WILKENS AVE STE 410, BALTIMORE, MD 21229-5072
(443) 574-8500
Mailing address
3407 WILKENS AVE STE 410, BALTIMORE, MD 21229-5072
(443) 574-8500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/31/2024
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