Individual
JORGE C. SECADA-LOVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1122 KENILWORTH DR STE 214, TOWSON, MD 21204-2143
(410) 321-9701
(410) 321-0845
Mailing address
1122 KENILWORTH DR STE 214, TOWSON, MD 21204-2143
(410) 321-9701
(410) 321-0845
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D22633
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42068810
CAREFIRST
MD
05
—
477541400
—
MD
01
—
J046 0001
CAREFIRST
DC
01
—
P00611137
RAILROAD MEDICARE
GA
Enumeration date
02/12/2006
Last updated
11/21/2017
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