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Individual

DR. PAUL A VALLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 N CHARLES ST, SUITE 313, BALTIMORE, MD 21204-6800
(443) 849-3680
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D26835
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D26835
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
368211100
MD
01
735AVA/35112005
CAREFIRST OF MARYLAND
MD
01
J706-0001
CAREFIRST REGIONAL
MD
Enumeration date
07/27/2006
Last updated
12/15/2011
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