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Individual

DR. GLORIA FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4 W ROLLING CROSSROADS, SUITE 100, BALTIMORE, MD 21228-6280
(410) 869-0100
(410) 869-0460
Mailing address
1829 REISTERSTOWN RD, SUITE 205, BALTIMORE, MD 21208-6320
(410) 602-9842
(410) 602-9857

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0033157
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028
CAREFIRST DC
01
012335
JOHNS HOPKINS HEALTHCARE
MD
01
110155
COVENTRY
05
1203593
MD
01
1981791
UNITED HEALTHCARE
01
2328095
AETNA HMO
01
281932
MAMSI
01
35168804
CAREFIRST MARYLAND
05
435681100
MD
01
6763604
CIGNA
01
700904
NCPPO
01
7090097
AETNA PPO
05
93130
MD
01
9974
KAISER
Enumeration date
07/08/2006
Last updated
12/23/2013
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