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Individual

MR. PERFECTO CRUZ VALARAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1716 HARFORD RD, SUITE 101, FALLSTON, MD 21047
(410) 879-7100
(410) 877-7222
Mailing address
1716 HARFORD RD, SUITE 101, FALLSTON, MD 21047
(410) 879-7100
(410) 877-7222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0016389
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200201900
MD
01
BC/BS PC001
BCBS
Enumeration date
08/30/2006
Last updated
07/29/2015
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