Individual
DR. LEDYS JULIA DIMARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 22, BALTIMORE, MD 21215-5224
(410) 601-6840
(410) 601-5789
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0061221
MD
208M00000X
Hospitalist Physician
Primary
D61221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404487800
—
MD
01
—
CA8374
R/R MEDICARE GROUP #
MD
01
—
P00232202
R/R MEDICARE PROVIDER #
MD
Enumeration date
05/10/2006
Last updated
09/18/2017
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