Provider Demographics
NPI:1881891323
Name:MACAREO, LOUIS ROBERT (MD, JD, MPH)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:ROBERT
Last Name:MACAREO
Suffix:
Gender:M
Credentials:MD, JD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WRAIR DIVISION OF EXPERIMENTAL THERAPEUTICS
Mailing Address - Street 2:503 ROBERT GRANT AVE.
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-7500
Mailing Address - Country:US
Mailing Address - Phone:301-319-9412
Mailing Address - Fax:
Practice Address - Street 1:WRAIR DIVISION OF EXPERIMENTAL THERAPEUTICS
Practice Address - Street 2:503 ROBERT GRANT AVE.
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-7500
Practice Address - Country:US
Practice Address - Phone:301-319-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine