# DEO GRACIAS FAUSTINO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deogracias V. Faustino (solo practice)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467771774
- **Authorized official:** DEOGRACIAS FAUSTINO MD (INTERNIST)
- **Authorized official phone:** (410) 374-4488

## Contact information

- **Practice address:** 4111 LOWER BECKLEYSVILLE RD, HAMPSTEAD, MD 21074-2248
- **Practice address phone:** (410) 374-4488
- **Mailing address:** PO BOX 698, HAMPSTEAD, MD 21074-0698
- **Mailing address phone:** (410) 374-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0012901 | MD | Yes |

## Other

- **Enumeration date:** 05/26/2010
- **Last updated:** 03/07/2023