Organization · NPI-2

Baltimore Washington Professional Services INC.

Surgery · Glen Burnie, MD

NPI number1821277856
StatusActive
Last updated in NPPESJan 30, 2015

Details

NPI
1821277856
Entity type
Organization (NPI-2)
Legal business name
Baltimore Washington Professional Services INC.
Organization subpart
No
Enumeration date
Oct 26, 2007
Last updated
Jan 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes
207VG0400X Obstetrics & Gynecology, Gynecology––
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––
207RH0003X Internal Medicine, Hematology & Oncology–MD

Other names

  • Bwmc Surgical Associates (Doing Business As)

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 410-787-4594

Mailing address

Po Box 64584
Baltimore, MD 21264-4584

Authorized official

Amy Jo Noel
Managed Care Coordinator
4107874594

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