De Jesus Acosta, Ana

De Jesus Acosta, Ana is an individual health care provider with primary practice located at 401 N. Broadway , Baltimore MD 21231. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. De Jesus Acosta, Ana can be contacted via phone (410) 955-8964.

Contact Information

Primary practice address
401 N. Broadway Baltimore MD 21231
Phone: (410) 955-8964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16129 Puerto Rico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D66094 Maryland
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D66094 Maryland

Profile Details

NPI number 1184642548
LBN Legal business name De Jesus Acosta, Ana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184642548 NPPES
Maryland MEDICAID 510389400

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