Provider Demographics
NPI:1548313729
Name:BALTIMORE ARTHRITIS AND RHEUMATOLOGY
Entity type:Organization
Organization Name:BALTIMORE ARTHRITIS AND RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:SLOTKOFF
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-337-7780
Mailing Address - Street 1:120 SISTER PIERRE DR STE 507
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7527
Mailing Address - Country:US
Mailing Address - Phone:410-337-7780
Mailing Address - Fax:410-337-9011
Practice Address - Street 1:120 SISTER PIERRE DR STE 507
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7527
Practice Address - Country:US
Practice Address - Phone:410-337-7780
Practice Address - Fax:410-337-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770525495OtherINDIVIDUAL NPI
1770525495OtherINDIVIDUAL NPI