DR. Manuel J Datiles IV, M.D.

NPI #1043577000 in Eldersburg, Maryland

Provider Information

NPI Number: 1043577000
Entity Type: Individual
Name: DR. Manuel J Datiles IV, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 16, 2012
Last Updated: Jan 6, 2021

Practice Location

Address: 5963 EXCHANGE DR STE 100
City: Eldersburg
State: Maryland
ZIP Code: 21784-9256
Phone: (410) 549-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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