Dr JORGE VALLECILLO is a male medical professional, specializing in Internal Medicine. He graduated in 1980.
4000 ANNAPOLIS RD
SUITE 204
HALETHORPE
MD
212273618
Tel: 4107891084
| Npi | 1538262837 |
| Pac Id | 0840451274 |
| Professional Enrollment Id | I20120412000071 |
| Last Name | VALLECILLO |
| First Name | JORGE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 4000 ANNAPOLIS RD |
| Line 2 Street Address | SUITE 204 |
| Marker Of Address Line 2 Suppression | |
| City | HALETHORPE |
| State | MD |
| Zip Code | 212273618 |
| Phone Number | 4107891084 |
| Hospital Affiliation Ccn 1 | 210034 |
| Hospital Affiliation Lbn 1 | MEDSTAR HARBOR HOSPITAL |
| Hospital Affiliation Ccn 2 | 210011 |
| Hospital Affiliation Lbn 2 | SAINT AGNES HOSPITAL |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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