Individual
DR. CONSTANTINE A MISOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 MARYLAND AVE, BALTIMORE, MD 21218-5614
(410) 234-1600
(410) 727-4148
Mailing address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0033522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351330
CAREFIRST
MD
01
—
972631
CAQH
MD
Enumeration date
02/03/2006
Last updated
05/28/2015
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