OrganizationActive
Iwc Services Maryland LLC
NPI 1124955869 · General Practice Physician · Baltimore, MD
Provider details
- NPI number
- 1124955869
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Lusas, Owner(732) 451-4318
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 Wentworth Rd
Baltimore, MD 21234-6128
Phone: (732) 451-4318
Street-level locationGet directions
Mailing address
492c Cedar Ln Ste 514
Teaneck, NJ 07666-1713
Registry dates
- Enumerated
- 2026-05-06
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.