Individual
DR. ANDREA D KALETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 S CHURCH ST, MIDDLETOWN, MD 21769-8043
(301) 371-9000
(301) 371-8905
Mailing address
PO BOX 20, MIDDLETOWN, MD 21769-0020
(301) 371-9000
(301) 371-8905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D69718
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419498500
—
MD
01
—
96136601
BCBS MARYLAND #
MD
01
—
H9310007
BCBS NCA#
MD
Enumeration date
05/05/2006
Last updated
06/18/2010
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