Healthcare Provider Details

I. General information

NPI: 1144362112
Provider Name (Legal Business Name): BALTIMORE PULMONARY & CRITICAL CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N. EUTAW STREET SUITE 407
BALTIMORE MD
21201-6304
US

IV. Provider business mailing address

821 N. EUTAW STREET SUITE 407
BALTIMORE MD
21201-6304
US

V. Phone/Fax

Practice location:
  • Phone: 410-669-1393
  • Fax: 443-524-0749
Mailing address:
  • Phone: 410-669-1393
  • Fax: 443-524-0749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. SURJIT JULKA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-669-1393