| NPI | 1013739382 |
|---|---|
| Other Name | GBMC PPE ZIP 21204-5802 |
| Entity Type | Organization |
| Authorized Contact | JOSHUA CAMPBELL Interim EVP & CFO 443-849-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 208C00000X Colon & Rectal Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-08-07 |