Healthcare Provider Details

I. General information

NPI: 1073743084
Provider Name (Legal Business Name): FRANKLIN SQUARE HOSPITAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 FRANKLIN SQUARE DR SUITE 205
BALTIMORE MD
21237-3936
US

IV. Provider business mailing address

9101 FRANKLIN SQUARE DR SUITE 205
BALTIMORE MD
21237-3936
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-2000
  • Fax: 443-777-2035
Mailing address:
  • Phone: 443-777-2000
  • Fax: 443-777-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: LISA SHARKEY
Title or Position: MANAGER, PROFESSIONAL FEE BILLING
Credential:
Phone: 443-777-6827