# PAGLINAUAN MEDICAL PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417938671
- **Authorized official:** TEODULO JASON PAGLINAUAN MD (SERVER PARTNER)
- **Authorized official phone:** (410) 687-8818

## Contact information

- **Practice address:** 617 STEMMERS RUN RD, STE E, BALTIMORE, MD 21221-3334
- **Practice address phone:** (410) 687-8818
- **Practice address fax:** (410) 682-3989
- **Mailing address:** 617 STEMMERS RUN RD, STE E, BALTIMORE, MD 21221-3334
- **Mailing address phone:** (410) 687-8818
- **Mailing address fax:** (410) 682-3989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 08/22/2020