Organization Name: | MEDSTAR GOOD SAMARITAN PHYSICIANS LLC |
NPI Number: | 1679996078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE SCHNEIDER (VP) |
Mailing Address: | 5601 Loch Raven Blvd Baltimore |
State: | MD US |
Postal Code: | 212392945 |
Phone Number: | 4103665600 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 01/22/2014 |
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: |