Individual
NICOLAS JOSE LLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 ORLEANS ST, BALTIMORE, MD 21287-0013
(410) 502-8104
(410) 955-0028
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
229159
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
D72879
MD
Other
Enumeration date
05/01/2007
Last updated
11/13/2019
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