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NPI Code Detail

MEDICARE: FREDDY ORLANDO ARAUJO-VIDAL M.D.

MEDICARE: FREDDY ORLANDO ARAUJO-VIDAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistD0045628MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689612103
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDDY ORLANDO ARAUJO-VIDAL M.D.
Provider Business Mailing Address
First Line : PO BOX 477
Second Line :
City : CHESTERTOWN
State : MD
Zip : 21620-0477
Country : US
Telephone Number : 410-778-1420
Fax Number : 410-778-7086
Provider Business Practice Location Address
First Line : 100 BROWN ST
Second Line :
City : CHESTERTOWN
State : MD
Zip : 21620-1435
Country : US
Telephone Number : 410-778-1420
Fax Number : 410-778-7086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 02/02/2011

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