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Individual

ELI BALADAD ALEGADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4115 RITCHIE HIGHWAY, BROOKLYN, MD 21225
(410) 609-0041
(410) 609-0165
Mailing address
4115 RITCHIE HIGHWAY, BROOKLYN, MD 21225
(410) 609-0041
(410) 609-0165

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D42041
MD
207RP1001X
Pulmonary Disease Physician
Primary
D42041
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
343921600
MD
Enumeration date
11/22/2006
Last updated
02/11/2014
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