MEDICARE: MOROCCO HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	85906809706706767986	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245461078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOROCCO HOSPITAL

Provider Business Mailing Address
First Line	:	614 WYETH ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-2522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 WYETH ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-2522
Country	:	US
Telephone Number	:	617-998-7654
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROBERTO BAGGIO
Credential	:
Telephone Number	:	718-767-6543

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	07/28/2009

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Directions to “MOROCCO HOSPITAL ” Practice Location

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