Healthcare Provider Details

I. General information

NPI: 1558270173
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 OSLER DR STE 212
TOWSON MD
21204-7738
US

IV. Provider business mailing address

900 ELKRIDGE LANDING RD STE 2
LINTHICUM MD
21090-2924
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-4800
  • Fax: 410-337-4517
Mailing address:
  • Phone: 240-461-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DONALD JAMES
Title or Position: BUSINESS ANALYST
Credential:
Phone: 240-461-2410