Individual
CARLOS CHIRIBOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7503 SURRATTS ROAD, CLINTON, MD 20735-3395
(301) 870-7001
(301) 870-6697
Mailing address
7503 SURRATTS ROAD, CLINTON, MD 20735-3395
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0029896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415527100 /377751100
—
MD
Enumeration date
10/28/2005
Last updated
01/18/2012
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