Individual
DR. MIGUEL A HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 COMMONWEALTH AVE, CATONSVILLE, MD 21228-3044
(410) 788-6575
(410) 744-1088
Mailing address
413 COMMONWEALTH AVE, CATONSVILLE, MD 21228-3044
(410) 788-6575
(410) 744-1088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0004971
MD
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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