Individual
JUAN A SURIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
PO BOX 64485, BALTIMORE, MD 21264-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0023023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249355
AETNA HMO
MD
01
—
14394
JOHNS HOPKINS HEALTH CARE
MD
01
—
36500003
CARE FIRST BLUE CROSS
MD
01
—
7389792
AETNA PPO
MD
01
—
76702
AMERIGROUP
MD
01
—
8810989
CIGNA
MD
01
—
S295-0005
CARE FIRST BLUE CROSS
DC
Enumeration date
10/27/2005
Last updated
04/17/2008
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