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Individual

DR. CLARENCE WINFRED GEHRIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 UPPER CHESAPEAKE DR, SUITE 206, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 879-0227
Mailing address
520 UPPER CHESAPEAKE DR, SUITE 206, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 879-0227

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0001704
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040011828
RAILROAD MEDICARE
MD
01
103439
KAISER
MD
01
1426
HELIX
MD
01
16260
EHP
MD
05
200721500
MD
01
32051011
CAREFIRST
MD
01
4069473
AETNA PPO
MD
01
465958
AETNA HMO
MD
01
498835
NCAS
MD
01
93903
MAMSI
MD
01
E5130001
CAREFIRST BLUECHOICE
DC
Enumeration date
11/10/2006
Last updated
03/25/2015
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