Individual
KING PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N WOLFE ST, BALTIMORE, MD 21205-2103
(956) 739-8037
Mailing address
615 N WOLFE ST, BALTIMORE, MD 21205-2103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101280215
VA
208D00000X
General Practice Physician
MD500002422
DC
Other
Enumeration date
04/25/2022
Last updated
12/27/2023
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