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Contact Information

EDILBERTO ATIENZA JR, MD
3407 WILKENS AVE
BALTIMORE, MD21229
 Phone: 240-804-5368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EDILBERTO ATIENZA JR · (Male)

NPI Number 1356729040
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2015
Last updated 08/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0084921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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