Individual
DANIEL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SAINT PAUL ST STE POB 802, BALTIMORE, MD 21202-2102
(443) 299-9093
(443) 299-9093
Mailing address
2112 FOLKSTONE DR, FALLSTON, MD 21047-1407
(443) 299-9093
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MD
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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