Organization
THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA STOUT (V. P. OF FINANCE)
(443) 444-3841
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, POB, SUITE 106, BALTIMORE, MD 21239-2905
(410) 323-9210
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6035
CAREFIRST BC/BS DC
MD
01
—
FY01GO
CAREFIRST BC/BS MD
MD
Enumeration date
08/20/2009
Last updated
08/20/2009
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