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Contact Information

ST PAUL PLACE SPECIALISTS, INC.
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD21742-6710
 Phone: 410-332-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ST PAUL PLACE SPECIALISTS INC · (Female)

NPI # 1972478147
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2025
Last updated 10/08/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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