Organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Active
Parent organization
GREATER BALTIMORE MEDICAL CENTER, INC.
Other names
GBMC, Inc.-Infectious Disease
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Authorized official
MR. LAURIE BEYER (EXECUTIVE VICE PRES & CFO)
(443) 849-2519
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD, STE 306, OWINGS MILLS, MD 21117-4836
(410) 581-7804
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512501402
—
MD
01
—
KJ68ME
CAREFIRST MARYLAND
MD
01
—
S121
CAREFIRST REGIONAL
MD
Enumeration date
11/16/2006
Last updated
06/05/2023
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