Individual
GREGORY DALENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678-4019
(410) 535-8195
Mailing address
110 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678-4019
(347) 712-0528
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036141318
IL
208600000X
Surgery Physician
247251
NY
208600000X
Surgery Physician
Primary
D0099371
MD
Other
Enumeration date
02/14/2008
Last updated
01/19/2024
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