| NPI | 1508961988 |
|---|---|
| Doing Business As | NW BREAST CARE CTR,HOSPITALIST,PA, SHS PLASTICS,SURGICAL HOUSE STAFF |
| Entity Type | Organization |
| Authorized Contact | DAVID MCCORMICK CFO 410-701-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD 03-004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 03-004) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD 03-004) | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 03-004) | |
| 208200000X Plastic Surgery (Licence: MD 03-004) | |
| 208600000X Surgery (Licence: MD 03-004) | |
| 363A00000X Physician Assistant (Licence: MD 03-004) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-10-20 |