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Individual

DR. ALVIN SANICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6535 N CHARLES ST, PPN 200, TOWSON, MD 21204-5826
(410) 583-8393
(410) 583-8394
Mailing address
6535 N CHARLES ST, PPN 200, TOWSON, MD 21204-5826
(410) 583-8393
(410) 583-8394

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D46370
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841101800
MD
Enumeration date
06/29/2006
Last updated
06/17/2013
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