Healthcare Provider Details

I. General information

NPI: 1346177433
Provider Name (Legal Business Name): GREATER BALTIMORE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 N CHARLES ST STE 3330
BALTIMORE MD
21204-6808
US

IV. Provider business mailing address

6701 N CHARLES ST S. CHAPMAN BUILDING, SUITE 102
BALTIMORE MD
21204-6808
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2000
  • Fax: 443-849-3138
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER CARL OSTASEWSKI
Title or Position: CFO
Credential:
Phone: 717-531-1159