Healthcare Provider Details
I. General information
NPI: 1609010925
Provider Name (Legal Business Name): FRANKLIN SQUARE HOSPITAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9103 FRANKLIN SQUARE DR SUITE 305
BALTIMORE MD
21237-3900
US
IV. Provider business mailing address
9103 FRANKLIN SQUARE DR SUITE 305
BALTIMORE MD
21237-3900
US
V. Phone/Fax
- Phone: 443-777-7608
- Fax:
- Phone: 443-777-7608
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
SHARKEY
Title or Position: MANAGER, PROFESSIONAL FEE BILLING
Credential:
Phone: 443-777-7142