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Organization
GASTROINTESTINAL ASSOCIATES OF MARYLAND PA
Active
Organization
GASTROINTESTINAL ASSOCIATES OF MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGINA MICHELLE GRAY (PRACTICE ADMINISTRATOR)
(301) 645-8035
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD STE 305, OXON HILL, MD 20745-1117
(301) 292-2300
(301) 292-8025
Mailing address
12070 OLD LINE CTR, STE 200, WALDORF, MD 20602-2503
(301) 645-8035
(301) 645-5229
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/16/2005
Last updated
02/05/2018
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