Individual
EUGENIA B. UTZURRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 W TIMONIUM RD, SUITE 102, LUTHERVILLE, MD 21093-3125
(410) 252-7500
(410) 252-3636
Mailing address
10600 YORK RD, STE 103, YORK RIDGE CENTER NORTH, COCKEYSVILLE, MD 21030
(410) 252-7500
(410) 252-3636
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0016256
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419501900
—
MD
Enumeration date
01/31/2006
Last updated
09/19/2014
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