MIGUEL A HEREDIA, MD PA

BALTIMORE, MD
NPI1659698827
Entity TypeOrganization
Authorized ContactMIGUEL ARQUIMEDES HEREDIA
Medical Doctor
410-788-6575
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: MD  D0004971)
Enumeration Date2010-04-28
Last Update Date2010-04-28
Business Address
MIGUEL A HEREDIA, MD PA
413 COMMONWEALTH AVE
BALTIMORE, MD 21228-3044
Phone number: 410-788-6575
Mailing Address
MIGUEL A HEREDIA, MD PA
413 COMMONWEALTH AVE
BALTIMORE, MD 21228-3044
Phone number: 410-788-6575