Individual
HENRIQUE DORIA DE VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC, PHD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-4399
Mailing address
2 E JOPPA RD APT PH1377, TOWSON, MD 21286-3139
(410) 599-1117
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D0048442
MD
207R00000X
Internal Medicine Physician
11022174A
IN
207R00000X
Internal Medicine Physician
D48442
MD
Other
Enumeration date
04/06/2022
Last updated
08/25/2023
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