Healthcare Provider Details

I. General information

NPI: 1124313499
Provider Name (Legal Business Name): EDWIN F. AGUILAR, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6830 HOSPITAL DR SUITE 206
BALTIMORE MD
21237-4373
US

IV. Provider business mailing address

6830 HOSPITAL DR STE 206
BALTIMORE MD
21237-4377
US

V. Phone/Fax

Practice location:
  • Phone: 410-238-5390
  • Fax: 410-238-5396
Mailing address:
  • Phone: 410-238-5390
  • Fax: 410-238-5396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWIN F. AGUILAR LOPEZ
Title or Position: OWNER
Credential: M.D.
Phone: 410-238-5390