NPI 1790867802

Veterans Affairs Maryland Health Care System

Organisation Exclusive Provider Organization Baltimore, MD

Practice location

Address: 10 N Greene St, Baltimore, MD 21201-1524
Phone: (410) 605-7000
Mailing address: 118 N Howard St APT 601, Baltimore, MD 21201-3424

Authorised official

Name: Carla Brandilyn Spyies
Title: Doctor of Clinical Audiology
Phone: (410) 605-7000

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 01116 (MD)

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Registry record

NPI: 1790867802
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 18 Jul 2008

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.