Individual
EUGENE KHOROSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1651
(410) 721-7201
Mailing address
2135 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25366
MD
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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