Organization · NPI-2

Baltimore Washington Professional Services INC.

Surgery · Glen Burnie, MD

NPI number1710071725
StatusActive
Last updated in NPPESNov 4, 2009

Details

NPI
1710071725
Entity type
Organization (NPI-2)
Legal business name
Baltimore Washington Professional Services INC.
Organization subpart
Yes
Enumeration date
Oct 3, 2006
Last updated
Nov 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Other names

  • The Aiello Breast Center (Doing Business As)

Practice location

203 Hospital Dr
Suite B100
Glen Burnie, MD 21061-6904

Phone 410-553-8351 · Fax 410-553-8352

Mailing address

203 Hospital Dr
Suite B100
Glen Burnie, MD 21061-6904

Phone 410-553-8351 · Fax 410-553-8352

Authorized official

Charlene Ann Mayo
Practice Manager
4105538353

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