Healthcare Provider Details

I. General information

NPI: 1790753291
Provider Name (Legal Business Name): HOWARD COUNTY GENERAL EKG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5755 CEDAR LN
COLUMBIA MD
21044-2912
US

IV. Provider business mailing address

9900 FRANKLIN SQUARE DR SUITE B
BALTIMORE MD
21236-5915
US

V. Phone/Fax

Practice location:
  • Phone: 443-276-9000
  • Fax: 443-276-9610
Mailing address:
  • Phone: 443-276-9000
  • Fax: 443-276-9610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CATHY L MARLOWE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 443-276-9000