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NPI Code Detail

MEDICARE: BALTIMORE ULTRASOUND SERVICES,INC

MEDICARE: BALTIMORE ULTRASOUND SERVICES,INC
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
12471S1302XSonography Radiologic Technologist

General Provider Information

NPI Number : 1598762064
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALTIMORE ULTRASOUND SERVICES,INC
Provider Business Mailing Address
First Line : 3814 E JOPPA RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21236-2203
Country : US
Telephone Number : 410-529-6666
Fax Number : 410-529-0019
Provider Business Practice Location Address
First Line : 3814 E JOPPA RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21236-2203
Country : US
Telephone Number : 410-529-6666
Fax Number : 410-529-0019
Authorized Official
Title or Position : PRESIDENT
Name : MR. BRIAN JOSEPH JACQUES
Credential :
Telephone Number : 410-529-6666
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/22/2020

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Directions to “BALTIMORE ULTRASOUND SERVICES,INC ” Practice Location

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