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Jose P Nepomuceno Md Pa
Medical Specialty Clinic/Center in Glen Burnie, Maryland
NPI 1457698706

Jose P Nepomuceno Md Pa is a Medical Specialty Clinic/Center based in Glen Burnie, MD and is specialized in Medical Specialty. Jose P Nepomuceno Md Pa practices in Glen Burnie, MD. The NPI Number for Jose P Nepomuceno Md Pa is 1457698706 and holds a License No. D16445 (Maryland).

The current practice location address for Jose P Nepomuceno Md Pa is 7845 Oakwood Rd, Glen Burnie, MD and can be reached out via phone at 410-768-2048 and via fax at 410-768-9171.

Location: 7845 Oakwood Rd, Glen Burnie, MD, 21061-4256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457698706
Provider Name
Jose P Nepomuceno Md Pa
Credential
Provider Entity Type
Organization
Address
7845 Oakwood Rd, Glen Burnie, MD, 21061-4256
Phone Number
410-768-2048
Fax Number
410-768-9171
Provider Enumeration Date
01/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012126 05 MD
institution
Provider Business Practice Location Address Details
Address
7845 Oakwood Rd
City
Glen Burnie
State
Maryland
Zip
21061-4256
Phone Number
410-768-2048
Fax Number
410-768-9171
person
Provider Business Mailing Address Details
Address
7845 Oakwood Rd
City
Glen Burnie
State
Maryland
Zip
21061-4256
Phone Number
410-768-2048
Fax Number
410-768-9171
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D16445 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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