Healthcare Provider Details
I. General information
NPI: 1548281520
Provider Name (Legal Business Name): UNION MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 E UNIVERSITY PKWY
BALTIMORE MD
21218-2829
US
IV. Provider business mailing address
201 E UNIVERSITY PKWY
BALTIMORE MD
21218-2829
US
V. Phone/Fax
- Phone: 410-554-2000
- Fax:
- Phone: 410-554-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STUART
B.
BELL
Title or Position: V.P. OF MEDICAL AFFAIRS
Credential: M.D.
Phone: 410-554-2260