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PACIFIC REHAB OF MARYLAND NPI 1043418494


NPI Information

NPI: 1043418494
Provider Name: PACIFIC REHAB OF MARYLAND

Doing Business As: ST PAUL AND BIDDLE MEDICAL ASSOCIATES

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1120 ST PAUL ST
GROUND LEVEL
BALTIMORE, MD
ZIP 21202
Phone: (410) 685-7790
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PACIFIC REHAB OF MARYLAND is a general practice in Baltimore, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PACIFIC REHAB OF MARYLAND NPI is 1043418494. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Paul And Biddle Medical Associates.

The provider's business location address is:

1120 ST PAUL ST
GROUND LEVEL
BALTIMORE, MD
ZIP 21202
Phone: (410) 685-7790
Fax: (410) 332-9988

The provider's authorized official is Robert David Gober .
The authorized official title is Owner and has the following contact phone number (410) 908-0946.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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