Healthcare Provider Details

I. General information

NPI: 1265359582
Provider Name (Legal Business Name): BLUE CRAB MED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 EVELYN AVE UNIT C1
LINTHICUM HEIGHTS MD
21090-1325
US

IV. Provider business mailing address

210 CHARLES RD
LINTHICUM HEIGHTS MD
21090-1636
US

V. Phone/Fax

Practice location:
  • Phone: 410-849-6911
  • Fax:
Mailing address:
  • Phone: 410-849-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW CHARLES LUBASZEWSKI
Title or Position: OWNER
Credential:
Phone: 410-849-6555