MEDICARE: OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA

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	291U00000X	Clinical Medical Laboratory	723	MD
2	291U00000X	Clinical Medical Laboratory	AFP 723	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AFP 723	OTHER	MD	LAB NUMBER

General Provider Information

NPI Number	:	1720163876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA

Provider Business Mailing Address
First Line	:	110 SOUTH PACA ST
Second Line	:	SUITE 6N300
City	:	BALTIMORE
State	:	MD
Zip	:	21201-1751
Country	:	US
Telephone Number	:	410-328-0253
Fax Number	:	410-328-3379

Provider Business Practice Location Address
First Line	:	419 W REDWOOD ST
Second Line	:	SUITE 500
City	:	BALTIMORE
State	:	MD
Zip	:	21201-1751
Country	:	US
Telephone Number	:	410-320-6640
Fax Number	:	410-328-3379

Authorized Official
Title or Position	:	DIRECTOR PRFOESSIONAL FEES
Name	:	RICK EUGENE BRINEGAR
Credential	:
Telephone Number	:	410-328-0353

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/04/2008

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1144116583 — CENTRIA HEALTHCARE LLC
Practice Location Address:

2101 WASHINGTON BLVD
BALTIMORE, MD
21230-1751

Practice Phone: 855-772-8847
Practice Fax:

1003325291 — KENDRA FISCHER BCBA
Practice Location Address:

606 E BALTIMORE PIKE
MEDIA, PA
19063-1751

Practice Phone: 610-356-4749
Practice Fax:

1619477742 — COLLEEN MARIE BERRY
Practice Location Address:

7222 FAIRBROOK RD
BALTIMORE, MD
21244-1751

Practice Phone: 443-860-2490
Practice Fax:

Directions to “OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.