Provider Demographics
NPI:1922202696
Name:CONTRERAS, ERICA CAMILLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:CAMILLE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-5973
Mailing Address - Country:US
Mailing Address - Phone:240-427-1800
Mailing Address - Fax:
Practice Address - Street 1:605 EAST CHARLES STREET
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646
Practice Address - Country:US
Practice Address - Phone:240-427-1800
Practice Address - Fax:301-609-5132
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0072067207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology