Individual
ERICSON ANGELES CATIPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 SOUTH HANOVER ST.,, GRUEHN BLDG. SUITE 300, BROOKLYN, MD 21225
(410) 350-8222
(410) 350-8220
Mailing address
18579 CAPE JASMINE WAY, GAITHERSBURG, MD 20879
(301) 977-8132
(410) 350-8220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779131300
—
MD
Enumeration date
12/19/2006
Last updated
10/12/2011
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