Provider Demographics
NPI:1306164025
Name:BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC.
Entity type:Organization
Organization Name:BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-787-4879
Mailing Address - Street 1:7556 TEAGUE RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1200
Mailing Address - Country:US
Mailing Address - Phone:410-553-8260
Mailing Address - Fax:410-553-8261
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 430
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1200
Practice Address - Country:US
Practice Address - Phone:410-553-8260
Practice Address - Fax:410-553-8261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty