Provider Demographics
NPI:1992134738
Name:YOUR HEALTH NETWORK, INC.
Entity type:Organization
Organization Name:YOUR HEALTH NETWORK, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIR OF THE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEILENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-475-0990
Mailing Address - Street 1:3000 FALLS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2435
Mailing Address - Country:US
Mailing Address - Phone:443-475-0990
Mailing Address - Fax:
Practice Address - Street 1:3000 FALLS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2435
Practice Address - Country:US
Practice Address - Phone:443-475-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty