Individual
DR. LYDIA MENDOZA JUMAMOY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 WADE AVE, BALTIMORE, MD 21228-4663
(410) 402-6000
(410) 402-7638
Mailing address
220 TUNBRIDGE RD, BALTIMORE, MD 21212-3422
(410) 402-6000
(410) 402-7638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D22488
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39222
—
MD
Enumeration date
12/12/2005
Last updated
07/08/2007
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