Individual
BRENDON PALTOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 AURORA ST, CAMBRIDGE, MD 21613-1903
(410) 228-9515
(410) 228-1453
Mailing address
105 AURORA ST, CAMBRIDGE, MD 21613-1903
(410) 228-9515
(410) 228-1453
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D57040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060064602
RR MEDICARE
MD
01
—
60764602
CAREFIRST BS
MD
05
—
966604401
—
MD
01
—
E6360006
FEDERAL BS
MD
Enumeration date
10/04/2005
Last updated
11/01/2011
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