| Deo Gracias Faustino Md Pa | |
|
4111 Lower Beckleysville Rd Hampstead MD 21074-2248 | |
| (410) 374-4488 | |
| Not Available |
| Full Name | Deo Gracias Faustino Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4111 Lower Beckleysville Rd, Hampstead, Maryland |
| Authorized Official Name and Position | Deogracias Faustino (INTERNIST) |
| Authorized Official Contact | 4103744488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deo Gracias Faustino Md Pa Po Box 698 Hampstead MD 21074-0698 Ph: (410) 374-4488 | Deo Gracias Faustino Md Pa 4111 Lower Beckleysville Rd Hampstead MD 21074-2248 Ph: (410) 374-4488 |
| NPI Number | 1467771774 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5496885212 |
|---|---|
| Medicare Enrollment ID | O20100604000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467771774 | NPI | - | NPPES |
| D0012901 | Other | MD | DMHMH LICENSE NO. |
| 009431500 | Medicaid | MD | |
| 1164504528 | Other | MD | SOLO PRACTICE NPI AS DEOGRACIAS V. FAUSTINO, M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0012901 (Maryland) | Primary |
| Provider Name | Deogracias Faustino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164504528 PECOS PAC ID: 9931239761 Enrollment ID: I20100604000746 |
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