Provider Demographics
NPI:1982452132
Name:DIMENSIONS HEALTHCARE ASSOCIATES INC
Entity Type:Organization
Organization Name:DIMENSIONS HEALTHCARE ASSOCIATES INC
Other - Org Name:UNIVERSITY OF MARYLAND CAPITAL REGION HEALTH MEDICAL GROUP ORGANIZATIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROZIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-913-1546
Mailing Address - Street 1:900 ELKRIDGE LANDING RD FL 2
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7350 VAN DUSEN RD STE 260
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5242
Practice Address - Country:US
Practice Address - Phone:301-497-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIMENSIONS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty