NPI 1003862582

Earl John D Mauricio, MD

Practitioner Psychiatry Physician Largo, MD

Practice location

Address: 1221 Mercantile Ln, Largo, MD 20774-5374
Phone: (301) 386-6800
Fax: (301) 386-6801

Registered specialties (4)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence D0079868 (MD)

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Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 0101258524 (VA)

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Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 224105 (MA)

Registry record

NPI: 1003862582
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2006
Record last updated: 6 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.