Individual
CARLOS N PATALINGHUG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5410 RITCHIE HWY, STE B, BROOKLYN PARK, MD 21225-3069
(410) 354-4100
(410) 354-4350
Mailing address
5410 RITCHIE HWY, STE B, BROOKLYN PARK, MD 21225-3069
(410) 354-4100
(410) 354-4350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D18426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4379833
AETNA
—
01
—
6681CN
BLUE CROSS
—
Enumeration date
06/28/2005
Last updated
03/03/2017
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