Individual
DR. NESTORAS NICOLAS MATHIOUDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-3663
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-3663
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D73952
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055304200
—
MD
Enumeration date
02/27/2007
Last updated
01/29/2013
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