Organization
EYE TEL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L GREGORY (PRESIDENT & CEO)
(301) 483-6167
Entity
Organization
Contact information
Practice address
9130 GUILFORD ROAD, COLUMBIA, MD 21046-2581
(301) 483-6167
(301) 483-6168
Mailing address
9130 GUILFORD ROAD, COLUMBIA, MD 21046-2581
(301) 483-6167
(301) 483-6168
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/17/2006
Last updated
08/20/2009
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