Individual
MR. FRED JEROME REGLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(443) 642-3900
Mailing address
2221 PELHAM AVE, BALTIMORE, MD 21213-1032
(410) 366-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06917
MD
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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