Individual
JOSE FERNANDO AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, MAUMENEE 708, BALTIMORE, MD 21287-0005
(443) 287-9554
(443) 287-5492
Mailing address
600 N WOLFE ST, MAUMENEE 708, BALTIMORE, MD 21287-0005
(443) 287-9554
(443) 287-5492
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D48407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D48407
LICENSE
MD
Enumeration date
08/20/2015
Last updated
03/28/2022
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