| Agaton H. Escalante, MD LLC | |
|
8870 Belair Rd Nottingham MD 21236-2401 | |
| (410) 256-8510 | |
| (410) 256-2594 |
| Full Name | Agaton H. Escalante, MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 8870 Belair Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Agaton H Escalante (PHYSICIAN) |
| Authorized Official Contact | 4435646463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agaton H. Escalante, MD LLC 308 Lochview Ter Lutherville MD 21093-2711 Ph: (410) 557-9322 | Agaton H. Escalante, MD LLC 8870 Belair Rd Nottingham MD 21236-2401 Ph: (410) 256-8510 |
| NPI Number | 1447965157 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 6800267469 |
|---|---|
| Medicare Enrollment ID | O20230119001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447965157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Agaton H Escalante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689748816 PECOS PAC ID: 3476713348 Enrollment ID: I20120330000042 |
Jeffrey C. Schultz, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8817 Belair Rd, Suite 111, Nottingham, MD 21236 Phone: 410-529-6440 Fax: 410-529-6793 |
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