| Greater Baltimore Medical Center, Inc. | |
|
6569 N Charles St Ste 505 Baltimore MD 21204-6831 | |
| (443) 849-2196 | |
| Not Available |
| Full Name | Greater Baltimore Medical Center, Inc. |
|---|---|
| Speciality | Ophthalmology |
| Location | 6569 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Eric Melchior (EXECUTIVE VICE PRES & CFO) |
| Authorized Official Contact | 4438492519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Baltimore Medical Center, Inc. Po Box 631568 Baltimore MD 21263-1568 Ph: () - | Greater Baltimore Medical Center, Inc. 6569 N Charles St Ste 505 Baltimore MD 21204-6831 Ph: (443) 849-2196 |
| NPI Number | 1457389413 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457389413 | NPI | - | NPPES |
| KJ54 | Other | MD | CAREFIRST MARYLAND |
| S135 | Other | MD | CAREFIRST REGIONAL |
| S141 | Other | MD | CAREFIRST REGIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
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