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Organization

JUAN A. BELTRAN, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN A BELTRAN MD (MEDICAL DOCTOR)
(410) 750-0352
Entity
Organization

Contact information

Practice address
9014 ELMONTE WOODS WAY, ELLICOTT CITY, MD 21042-1854
(410) 750-0325
Mailing address
9014 ELMONTE WOODS WAY, ELLICOTT CITY, MD 21042-1854
(410) 750-0325

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
D0016263
MD
282N00000X
General Acute Care Hospital
Primary
D0016263
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184781300
MD
Enumeration date
10/28/2010
Last updated
11/18/2010
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