Individual
IVES ANTONIO VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
321594-01
NY
207W00000X
Ophthalmology Physician
D94052
MD
Other
Enumeration date
03/21/2018
Last updated
05/17/2023
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