Provider Demographics
NPI:1073006276
Name:BIO MEDICAL APPLICATIONS OF MARYLAND INC
Entity Type:Organization
Organization Name:BIO MEDICAL APPLICATIONS OF MARYLAND INC
Other - Org Name:FRESENIUS KIDNEY CARE SOUTHERN MARYLAND HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-2668
Mailing Address - Street 1:28103 THREE NOTCH RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3294
Mailing Address - Country:US
Mailing Address - Phone:301-884-1098
Mailing Address - Fax:301-884-1502
Practice Address - Street 1:28103 THREE NOTCH RD STE 1A
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3294
Practice Address - Country:US
Practice Address - Phone:301-884-1098
Practice Address - Fax:301-884-1502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment