Individual
JUAN CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 DUTCHMANS LN STE A3, EASTON, MD 21601-4302
(410) 822-2440
(410) 822-2441
Mailing address
2001 MEDICAL PKWY, MEDICAL STAFF OFFICE, ANNAPOLIS, MD 21401-8943
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D57950
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986800300
—
MD
01
—
AT540006
BCBS
MD
Enumeration date
06/15/2006
Last updated
11/09/2018
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