Individual
ISABEL MARCANO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Mailing address
201 E UNIVERSITY PKWY STE 551, BALTIMORE, MD 21218-2829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT209370
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0089639
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2015
Last updated
07/21/2020
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