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ENDOCENTRE OF BALTIMORE NPI 1790738359


NPI Information

NPI: 1790738359
Provider Name: ENDOCENTRE OF BALTIMORE
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 21D0995507

Address:
1838 GREENE TREE RD
SUITE 180
BALTIMORE, MD
ZIP 21208
Phone: (410) 602-7782
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ENDOCENTRE OF BALTIMORE is an endoscopy clinic center in Baltimore, MD. ENDOCENTRE OF BALTIMORE NPI is 1790738359. The provider is registered as an organization entity type.

The provider's business location address is:

1838 GREENE TREE RD
SUITE 180
BALTIMORE, MD
ZIP 21208-391
Phone: (410) 602-7782
Fax: (410) 602-2438

The provider's authorized official is Edward Wolf .
The authorized official title is President and has the following contact phone number (410) 602-7782.

The CLIA number assigned to this NPI record is 21D0995507 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 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
1261QE0800XClinic/CenterEndoscopyYes

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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