Individual
DEOGRACIAS VALLAR FAUSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4111 LOWER BECKLEYSVILLE RD, DV FAUSTINO MD PA, HAMPSTEAD, MD 21074
(410) 374-4488
Mailing address
PO BOX 698, DV FAUSTINO MD PA, HAMPSTEAD, MD 21074
(410) 374-4488
(410) 239-0240
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0012901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009431500
—
MD
01
—
1467771774
SECOND NPI #
MD
Enumeration date
10/19/2006
Last updated
04/15/2014
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