Individual
ELISDEL S GARCIA-BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1708 W. ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Mailing address
1708 W. ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D51716
MD
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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