Individual
DR. MATIAS BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3708 MOUNTAIN RD, PASADENA, MD 21122-2025
(410) 553-8273
Mailing address
9166 LANDON HOUSE LN, FREDERICK, MD 21704-7763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D95030
MD
Other
Enumeration date
04/10/2019
Last updated
09/26/2022
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