Healthcare Provider Details

I. General information

NPI: 1992935571
Provider Name (Legal Business Name): UNION MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST 2ND FLOOR
BALTIMORE MD
21218-2867
US

IV. Provider business mailing address

201 E UNIVERSITY PKWY
BALTIMORE MD
21218-2829
US

V. Phone/Fax

Practice location:
  • Phone: 410-235-5405
  • Fax:
Mailing address:
  • Phone: 410-554-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STUART BELL
Title or Position: V. P. OF MEDICAL AFFAIRS
Credential:
Phone: 410-554-2000