Individual
DR. MYRIAM LUCIA VEGA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N CAROLINE ST # 8072, BALTIMORE, MD 21287-0006
(410) 955-5933
(410) 502-2309
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D94940
MD
207N00000X
Dermatology Physician
MT196728
PA
Other
Enumeration date
06/21/2011
Last updated
11/30/2022
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