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Individual

CONSTANCE L MONITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 933-5474

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D45397
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D45397
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123101400
MD
Enumeration date
05/17/2006
Last updated
09/01/2017
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