Healthcare Provider Details

I. General information

NPI: 1326310541
Provider Name (Legal Business Name): WOMEN'S HEALTH SERVICES OF MARYLAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CRAIN HWY S STE 106
GLEN BURNIE MD
21061-6439
US

IV. Provider business mailing address

1600 CRAIN HWY S STE 106
GLEN BURNIE MD
21061-6439
US

V. Phone/Fax

Practice location:
  • Phone: 410-768-0262
  • Fax:
Mailing address:
  • Phone: 410-768-0262
  • Fax: 410-768-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0066225
License Number StateMD

VIII. Authorized Official

Name: DR. MERT DINC
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 410-768-0262