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Individual

DR. ABNER P PASATIEMPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
55 WADE AVE, CATONSVILLE, MD 21228-4663
(410) 402-6000
Mailing address
115 ENFIELD RD, BALTIMORE, MD 21212-3335
(410) 935-8122

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D45431
MD
2084P0802X
Addiction Psychiatry Physician
D45431
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D45431
STATE MEDICAL LICENSE
MD
Enumeration date
03/12/2009
Last updated
03/12/2009
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