Individual
MISS AIREEN KATE MATUTE KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-0292
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(732) 486-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0099521
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
04/16/2024
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