# JOHN GAMBRILL JR.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558113076
- **Authorized official:** MRS. GIDGET DEMETRUIS DAVENPORT (CREDENTIAL MANAGER)
- **Authorized official phone:** (443) 804-9858

## Contact information

- **Practice address:** 715 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5999
- **Practice address phone:** (410) 247-5602
- **Mailing address:** 715 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5999
- **Mailing address phone:** (410) 247-5602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2024
- **Last updated:** 04/05/2024