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Individual

EDGAR L ALONSOZANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 SAINT PAUL PL, DEPARTMENT OF PATHOLOGY, BALTIMORE, MD 21202-2102
(410) 332-9882
(410) 234-2558
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
D51140
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100320800
MD
01
KU59ST / 603146-01
BC / BS OF MD
MD
01
S185 / 0013
BLUECHOICE
MD
01
S797ST / S797ST
BC / BS OF MD
MD
Enumeration date
06/11/2006
Last updated
06/10/2010
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