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Individual

MICHAEL J. GUERRIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(607) 267-8937
Mailing address
16 E BISHOPS RD, BALTIMORE, MD 21218-2312
(607) 267-8937

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CX07058
MD

Other

Enumeration date
12/05/2018
Last updated
12/05/2018
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