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Individual

DR. YUDY ASTRID FONSECA

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) 328-6957
(410) 328-0680
Mailing address
P.O. BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D83600
MD
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D83600
MD

Other

Enumeration date
12/03/2013
Last updated
10/29/2019
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