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Individual

LEONARDO GIRIO-HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
520 UPPER CHESAPEAKE DR, SUITE 312, BEL AIR, MD 21014-4339
(443) 643-2236
(443) 643-1545
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
H79486
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
414109ZPES
MEDICARE
MD
01
641012000
MEDICAL ASSISTANCE
MD
01
BX93-0000
CAREFIRST
DC
01
BX93-0000
CAREFIRST
MD
01
P01508037
RAILROAD MEDICARE
GA
Enumeration date
08/10/2009
Last updated
02/12/2016
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