IWC SERVICES MARYLAND LLC NPI 1124955869

NPI Information

  • NPI: 1124955869
  • Provider Name: IWC SERVICES MARYLAND LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1801 WENTWORTH RD
    BALTIMORE, MD
    ZIP 21234
  • Phone: (732) 451-4318

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NPI Details

IWC SERVICES MARYLAND LLC 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 IWC SERVICES MARYLAND LLC NPI is 1124955869. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 WENTWORTH RD
BALTIMORE, MD
ZIP 21234-128
Phone: (732) 451-4318

The provider's authorized official is Diane Lusas .
The authorized official title is Owner and has the following contact phone number (732) 451-4318.

The enumeration date for this NPI number is 5/6/2026 and was last updated on 5/6/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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