Healthcare Provider Details

I. General information

NPI: 1841346798
Provider Name (Legal Business Name): BALTIMORE COUNTY DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3902 ANNAPOLIS RD
LANSDOWNE MD
21227-2210
US

IV. Provider business mailing address

6401 YORK RD 3RD FLOOR
BALTIMORE MD
21212-2152
US

V. Phone/Fax

Practice location:
  • Phone: 410-887-3740
  • Fax: 410-377-4751
Mailing address:
  • Phone: 410-887-3740
  • Fax: 410-377-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID TAYLOR
Title or Position: PRIVACY OFFICER
Credential:
Phone: 410-887-2077