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General NPI Number Information
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NPI Number | 1134077480
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Entity Type | Organization
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Legal Business Name | GREATER BALTIMORE MEDICAL CENTER
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 6715 N CHARLES ST STE 135
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City | BALTIMORE
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State | MD
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Zip | 21204-6822
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Country | US
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Telephone | 443-849-2766
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Fax |
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Provider Business Mailing Address
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Address Line | 6545 N CHARLES ST STE 102
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City | BALTIMORE
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State | MD
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Zip | 21204-6836
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXEC VP & CFO
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Name | PETER CARL OSTASEWSKI
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Credential |
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Telephone | 443-849-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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