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NPI Code Detail

MEDICARE: BALTIMORE VAMC

MEDICARE: BALTIMORE VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1245380872
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALTIMORE VAMC
Provider Business Mailing Address
First Line : PO BOX 89411
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-6411
Country : US
Telephone Number : 828-257-2333
Fax Number :
Provider Business Practice Location Address
First Line : 5235 KING AVE STE 200
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4068
Country : US
Telephone Number : 828-257-2333
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 01/12/2007
Last Update Date : 09/19/2018

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Directions to “BALTIMORE VAMC ” Practice Location

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