St. Agnes Healthcare, Inc.

NPI #1871313510 in Baltimore, Maryland

Provider Information

NPI Number: 1871313510
Entity Type: Organization
Organization Name: St. Agnes Healthcare, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: ASCENSION HEALTH
Primary Specialty: Surgery
Enumeration Date: Oct 16, 2024
Last Updated: Oct 31, 2024

Practice Location

Address: 3407 WILKENS AVE STE 410
City: Baltimore
State: Maryland
ZIP Code: 21229-5072
Phone: (443) 574-8500

Authorized Official

Name: MR. WILLIAM B HIGGINBOTHAM
Title: CREDENTIALING MANAGER
Phone: (667) 234-3162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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