COZUMEL SOUTHERN PRUETTE

BALTIMORE, MD
NPI1295887750
Former NameCOZUMEL ALLYSON SOUTHERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0210X Pediatrics, Pediatric Nephrology
(Licence: MD  D67656)
Additional Taxonomies208000000X Pediatrics
(Licence: MD  P20254)
Enumeration Date2007-01-17
Last Update Date2013-03-01
Business Address
Dr. COZUMEL SOUTHERN PRUETTE MD, MHS
200 N WOLFE ST ROOM 3055
BALTIMORE, MD 21287-0011
Phone number: 410-955-2467
Mailing Address
Dr. COZUMEL SOUTHERN PRUETTE MD, MHS
PO BOX 64316
BALTIMORE, MD 21264-4316
Phone number: 410-955-4427