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Organization

LEONARDO GIRIO-HERRERA, D.O., L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEONARDO GIRIO-HERRERA D.O. (OWNER)
(410) 335-0008
Entity
Organization

Contact information

Practice address
520 UPPER CHESAPEAKE DR, 312, BEL AIR, MD 21014-4339
(443) 643-2236
(443) 643-1545
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
414106
MEDICARE
MD
01
BX93
CAREFIRST
DC
01
BX93
CAREFIRST
MD
01
DV8721
RAILROAD MEDICARE
GA
Enumeration date
04/27/2015
Last updated
02/12/2016
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