Individual
VICTOR B MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
(667) 234-2944
Mailing address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
(667) 234-2944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0058046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
CAREFIRST-DC
MD
05
—
407524200
—
MD
Enumeration date
03/23/2006
Last updated
04/25/2018
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