| Doctor Name: | DR. JOSUE CHAVEZ LAREDO |
| NPI Number: | 1417911942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | P0008242 |
| Business Practice Address: | 4041 Gill Ave Hampstead, MD - 21074 |
| Business Phone Number: | 4103744141 |
| Business Fax Number: | 4102398545 |
| Mailing Address: | 2002 Cedar Circle Dr, BALTIMORE |
| State: | MD |
| Postal Code: | 21228 |
| Phone Number: | 4104846150 |
| Fax Number: | 4102398545 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P0008242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |