Healthcare Provider Details

I. General information

NPI: 1962493403
Provider Name (Legal Business Name): COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WADE AVE
CATONSVILLE MD
21228-4663
US

IV. Provider business mailing address

55 WADE AVE
CATONSVILLE MD
21228-4663
US

V. Phone/Fax

Practice location:
  • Phone: 410-402-7455
  • Fax: 410-402-7094
Mailing address:
  • Phone: 410-402-7455
  • Fax: 410-402-7094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number03040
License Number StateMD

VIII. Authorized Official

Name: DR. DAVID S HELSEL
Title or Position: SUPERINTENDENT
Credential: M.D.
Phone: 410-402-7455