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Individual

DR. PETER AZARCON REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D64744
MD
207RI0011X
Interventional Cardiology Physician
D64744
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
888538-01
BLUE CROSS/BLUE SHIELD
MD
01
S062-0289
BLUE CHOICE
MD
Enumeration date
07/06/2006
Last updated
01/08/2008
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