Basic Information
| Provider Information | |||||||||
| NPI: | 1710223300 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 WHORL CT | ||||||||
| Address2: | |||||||||
| City: | ESSEX | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212211757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4432230255 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9000 FRANKLIN SQUARE DR | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212373901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4437777000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2012 | ||||||||
| LastUpdateDate: | 12/31/2012 | ||||||||
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| AuthorizedOfficialLastName: | HANSEN | ||||||||
| AuthorizedOfficialFirstName: | JOHNATHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EMERGENCY MEDICINE CHAIR | ||||||||
| AuthorizedOfficialTelephone: | 4437777046 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | C0004967 | MD | Y | Hospitals | General Acute Care Hospital |
No ID Information.