NPI 1255183000
Shock Trauma Associates, P.A.
Practice location
- Address
- 22 S Greene St, Baltimore, MD 21201-1544
- Phone
- (410) 328-8667
- Fax
- (443) 462-3129
- Mailing address
- PO Box 64793, Baltimore, MD 21264-4793
Authorised official
- Name
- Stacy L Anderson
- Title
- Reimbursement Manager
- Phone
- (410) 328-7007
Registered specialties
Prevention Professional
Primary
Registry record
- NPI
- 1255183000
- Entity type
- Organization
- NPI issued
- 4 Apr 2024
- Record last updated
- 4 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.