Comptroller of Maryland, Central Payroll Bureau
NPI #1174514996 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1174514996
- Entity Type
- Organization
- Organization Name
- Comptroller of Maryland, Central Payroll Bureau
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 1, 2005
- Last Updated
- Aug 9, 2012
Practice Location
- Address
- 1500 PENNSYLVANIA AVE
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21742-3112
- Phone
- (301) 745-3748
Authorized Official
- Name
- MRS. CYNTHIA M PELLEGRINO, BSN MED
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (301) 791-4410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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