Individual
DR. JOEL VILLANUEVA CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-4613
(410) 706-4619
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-4613
(410) 706-4619
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
C1-0009369
DE
207RI0200X
Infectious Disease Physician
Primary
D80290
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571006500
—
MD
Enumeration date
09/05/2007
Last updated
03/28/2016
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