Provider Demographics
NPI:1063722890
Name:ERDMAN MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:ERDMAN MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-276-9222
Mailing Address - Street 1:3401 ERDMAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1945
Mailing Address - Country:US
Mailing Address - Phone:410-276-9222
Mailing Address - Fax:410-276-9119
Practice Address - Street 1:3401 ERDMAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1945
Practice Address - Country:US
Practice Address - Phone:410-276-9222
Practice Address - Fax:410-276-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty