Healthcare Provider Details
I. General information
NPI: 1194124131
Provider Name (Legal Business Name): DOWNTOWN BALTIMORE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2014
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1147 S HANOVER ST
BALTIMORE MD
21230-3717
US
IV. Provider business mailing address
1147 S HANOVER ST
BALTIMORE MD
21230-3717
US
V. Phone/Fax
- Phone: 410-752-5425
- Fax: 443-320-1581
- Phone: 410-752-5425
- Fax: 443-320-1581
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARC
S
POSNER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 443-250-3598