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Bryan Peralta
NPI 1801379490 · on the registry since 2018
Practice
- Address
- 22911 Jefferson Blvd
Smithsburg, MD 21783 - Phone
- (301) 824-3343
- Organisation at this address
- Medical Practices Of Antietam Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland