Individual
JUAN A ARRISUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PA
Contact information
Practice address
12502 WILLOWBROOK RD, 670, CUMBERLAND, MD 21502-1873
(301) 777-5338
(301) 777-8031
Mailing address
12502 WILLOWBROOK ROAD, SUITE 670, CUMBERLAND, MD 21502-1876
(301) 777-5338
(301) 777-8031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
B40807
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342981400
—
MD
Enumeration date
08/12/2005
Last updated
02/02/2010
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