Organization Name: | UNION HOSPITAL OF CECIL COUNTY |
NPI Number: | 1346581550 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROXANA D MURRAY (CREDENTIALING COORDINATOR) |
Mailing Address: | 41 Preston Dr Port Deposit |
State: | MD US |
Postal Code: | 219041800 |
Phone Number: | 4103983868 |
Fax Number: | 4103929289 |
NPI Enumeration Date: | 03/13/2013 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |