Healthcare Provider Details

I. General information

NPI: 1609874718
Provider Name (Legal Business Name): ERWIN R. ALDANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 REISTERSTOWN RD SUITE A
PIKESVILLE MD
21208-1335
US

IV. Provider business mailing address

1860 REISTERSTOWN RD SUITE A
PIKESVILLE MD
21208-1335
US

V. Phone/Fax

Practice location:
  • Phone: 443-244-0318
  • Fax: 410-740-4776
Mailing address:
  • Phone: 443-244-0318
  • Fax: 410-740-4776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0044741
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0044741
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberD0044741
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: