OrganizationActive
Jose P Nepomuceno MD PA
NPI 1457698706 · Medical Specialty Clinic/Center · Glen Burnie, MD
Provider details
- NPI number
- 1457698706
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jose Nepomuceno, President(410) 802-1206
- License
- D16445 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7845 Oakwood Rd
103
Glen Burnie, MD 21061-4256
Phone: (410) 768-2048
Fax: (410) 768-9171
Approximate (ZIP-level) locationGet directions
Mailing address
7845 Oakwood Rd
Glen Burnie, MD 21061-4256
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2013-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.