Organization
ANNE ARUNDEL MEDICAL CENTER INC
Active
Other names
The Breast Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L CLARKE (VP BUSINESS DEVELOPMENT)
(443) 481-6558
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 120, ANNAPOLIS, MD 21401-3046
(443) 481-5300
(443) 481-6705
Mailing address
PO BOX 64720, BALTIMORE, MD 21264-4720
(443) 481-6573
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617552
AETNA PPO
—
05
—
507000706
—
MD
01
—
5886
CAREFIRST
—
01
—
9226077
AETNA HMO
—
01
—
FG3HBR
CAREFIRST MD
—
01
—
K313BR
CAREFIRST
—
Enumeration date
03/08/2006
Last updated
08/04/2009
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