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Contact Information

ST. PAUL PLACE SPECIALISTS, INC.
227 ST. PAUL PLACE
6TH FLOOR
BALTIMORE, MD21202-2001
 Phone: 410-332-9002
 Fax: 410-783-5880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ST. PAUL PLACE SPECIALISTS, INC.

NPI Number 1891741112
LBN Legal business name ST. PAUL PLACE SPECIALISTS, INC.
Authorized official JUSTIN DEIBEL - (EXECUTIVE VICE PRESIDENT & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 12/18/2024 - More than a year ago
Identifiers
MD License # D0008372
MD Other KT93 BC / BS OF MD
MD Other 9754 BLUE CHOICE
MD Other S186 BLUECHOICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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