Individual
MR. LUIS R. P. DA CONCEICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-3000
Mailing address
6461 230TH ST, OAKLAND GARDENS, NY 11364-2713
(516) 901-5446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA78442
MD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/03/2010
Last updated
07/26/2024
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