Organization
PROFESSIONAL PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE CABATINGAN MUNESES M.D. (PRESIDENT)
(410) 760-1010
Entity
Organization
Contact information
Practice address
7845 OAKWOOD RD, SUITE 100, GLEN BURNIE, MD 21061-4280
(410) 760-1010
(410) 787-1056
Mailing address
7845 OAKWOOD RD, SUITE 100, GLEN BURNIE, MD 21061-4280
(410) 760-1010
(410) 787-1056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LZ85PR
BLUE SHIELD OF MD
MD
Enumeration date
08/04/2006
Last updated
08/22/2020
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