Individual
DR. AVELINO CATALINO VERCELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D64 6 03
MD
207RP1001X
Pulmonary Disease Physician
D64603
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
D64603
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063448322
—
DE
05
—
410732200
—
MD
01
—
888757-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/25/2006
Last updated
10/15/2012
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