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NPI Code Detail

MEDICARE: COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU

MEDICARE: COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
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
1283Q00000XPsychiatric Hospital01-009MD

General Provider Information

NPI Number : 1740275106
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Provider Business Mailing Address
First Line : PO BOX 1722
Second Line : COUNTRY CLUB ROAD SE
City : CUMBERLAND
State : MD
Zip : 21501-1722
Country : US
Telephone Number : 301-777-2405
Fax Number : 301-777-2364
Provider Business Practice Location Address
First Line : 10102 COUNTRY CLUB RD SE
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-8339
Country : US
Telephone Number : 301-777-2405
Fax Number : 301-777-2364
Authorized Official
Title or Position : ADMINISTRATOR
Name : JOHN GERARD CULLEN
Credential :
Telephone Number : 301-777-2260
Provider Enumeration Date : 09/13/2005
Last Update Date : 04/10/2008

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Directions to “COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU ” Practice Location

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