Provider Demographics
NPI:1972711612
Name:BALTIMORE- HARFORD SURGICAL CENTERS
Entity Type:Organization
Organization Name:BALTIMORE- HARFORD SURGICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGLIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-643-9900
Mailing Address - Street 1:615 W MACPHAIL RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4309
Mailing Address - Country:US
Mailing Address - Phone:443-643-4456
Mailing Address - Fax:
Practice Address - Street 1:2 NORTH AVE STE 102
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2303
Practice Address - Country:US
Practice Address - Phone:443-643-9900
Practice Address - Fax:443-643-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1284261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD216ZMedicare PIN
MD236ZMedicare PIN
MD082ZMedicare PIN