Organization · NPI-2

Baltimore Suburban Health, LLC

Internal Medicine · Owings Mills, MD

NPI number1013955723
StatusActive
Last updated in NPPESNov 15, 2024

Details

NPI
1013955723
Entity type
Organization (NPI-2)
Legal business name
Baltimore Suburban Health, LLC
Organization subpart
No
Enumeration date
Jun 3, 2006
Certification date
Nov 15, 2024
Last updated
Nov 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine–MDYes

Practice location

10085 Red Run Blvd Ste 306
Owings Mills, MD 21117-4832

Phone 410-653-0000 · Fax 410-653-5531

Mailing address

10085 Red Run Blvd Ste 306
Owings Mills, MD 21117-4832

Phone 410-653-0000 · Fax 410-653-5531

Authorized official

Elliot S Rothschild
Managing Member
4106530000

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