Organization · Type 2 NPI

St. Agnes Healthcare, Inc.

Body Imaging Physician · Baltimore, MD

NPI number 1629389630 Active

Practice location

900 Caton Ave
Baltimore, MD 21229-5201

Call (667) 234-2126 Map

Fax (667) 234-2947

Mailing address

3585 Washington Blvd
Halethorpe, MD 21227-1676

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Body Imaging Physician Primary 2085B0100XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1629389630

St. Agnes Healthcare, Inc.'s National Provider Identifier is 1629389630, issued on Jun 24, 2010. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Baltimore, MD. The record was last updated on Feb 25, 2016.