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Individual

JOSE M MONROY TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
503 BYRN ST, CAMBRIDGE, MD 21613-1917
(410) 221-7770
(410) 221-7863
Mailing address
503 BYRN ST, CAMBRIDGE, MD 21613-1917
(410) 221-7770
(410) 221-7863

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0073394
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
447103200
MD
01
97696702
BS
MD
01
E6360019
BS FEDERAL
MD
01
P20146
BS POINT OF SERVICE
MD
Enumeration date
08/05/2007
Last updated
08/30/2012
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