Individual
JORGE LUIS GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-6000
Mailing address
702 SAINT PAUL ST, APT A, BALTIMORE, MD 21202-2312
(954) 439-6511
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0005029
MD
Other
Enumeration date
09/16/2013
Last updated
05/04/2023
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