Individual
MILAGRITOS D TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6749
(410) 328-6136
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
D56258
MD
2080P0208X
Pediatric Infectious Diseases Physician
Primary
D56258
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403847900
—
MD
01
—
641056-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/20/2006
Last updated
11/07/2008
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