Basic Information
Provider Information
NPI: 1629229984
EntityType: 2
ReplacementNPI:  
OrganizationName: FRANKLIN SQUARE HOSPITAL
LastName:  
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Mailing Information
Address1: 9000 FRANKLIN SQUARE DR
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212373901
CountryCode: US
TelephoneNumber: 4437777000
FaxNumber:  
Practice Location
Address1: 9000 FRANKLIN SQUARE DR
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212373901
CountryCode: US
TelephoneNumber: 4437777000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/06/2008
LastUpdateDate: 10/06/2008
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: PANZARELLA
AuthorizedOfficialFirstName: PHILIP
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CHAIRMAN OF THE DEPARTMENT OF MEDIC
AuthorizedOfficialTelephone: 4437777155
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000XC0003877MDY HospitalsGeneral Acute Care Hospital 

No ID Information.


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