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Organization

DRS GOUEL AND BLOTNY

Active
Other names
Drs Gouel and Blotny, P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY R WRIGHT-SISK MD (DIRECTOR)
(443) 422-9941
Entity
Organization

Contact information

Practice address
1205 YORK ROAD, SUITE 18, LUTHERVILLE, MD 21093
(410) 583-6800
(410) 583-5259
Mailing address
1205 YORK ROAD, SUITE 18, LUTHERVILLE, MD 21093
(410) 583-6800
(410) 583-5259

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0020970
MD

Other

Enumeration date
08/09/2007
Last updated
08/27/2021
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