Individual
JERRY LOYOLA CORRECES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 150, HAGERSTOWN, MD 21742-6700
(301) 665-4825
(301) 665-4826
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 229, HAGERSTOWN, MD 21742-6700
(301) 665-4549
(301) 714-4293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004314173
AETNA
MD
01
—
1020111784
CIGNA
MD
01
—
52-1831657
ALLIANCE
MD
01
—
521831657
US HEALTHCARE
MD
01
—
525876-02
CAREFIRST BC/BS
MD
05
—
763511700
—
MD
01
—
817926 OC1
OPTIMUM CHOICE
MD
01
—
817926MD2
MDIPA
MD
01
—
T361001
BLUE CHOICE
MD
Enumeration date
05/16/2006
Last updated
10/27/2011
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