Individual
DR. MARIA MARTHA CARRILLO RAYMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 N CHARLES ST, SUITE 4202, TOWSON, MD 21204-6808
(410) 821-8444
(410) 821-8447
Mailing address
6701 N CHARLES ST, SUITE 4202, TOWSON, MD 21204-6808
(410) 821-8444
(410) 821-8447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054518
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0054518
MD
Other
Enumeration date
02/03/2016
Last updated
05/04/2016
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