Provider Demographics
NPI:1265215867
Name:THE BIRTH MARK
Entity type:Organization
Organization Name:THE BIRTH MARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-718-4708
Mailing Address - Street 1:1 N HAVEN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1670
Mailing Address - Country:US
Mailing Address - Phone:202-718-4708
Mailing Address - Fax:
Practice Address - Street 1:1 N HAVEN ST STE 104
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-1670
Practice Address - Country:US
Practice Address - Phone:202-718-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies