Individual
CONRADO GASCON UTANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
18 BROADBRIDGE RD, BALTIMORE, MD 21237-1559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R101533
MD
Other
Enumeration date
02/07/2006
Last updated
07/19/2019
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