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Individual

DR. GREGG C DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135
Mailing address
912 SETON DR, CUMBERLAND, MD 21502-1818
(301) 722-3111
(301) 722-5135

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0042054
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011509001
PA
05
2000220000
WV
01
2100999
UNITED HEALTHCARE
01
2117570
CIGNA
01
528302-02
BCBS POS
05
766241601
MD
01
893415
MDIPA/OPTIMUM CHOICE
01
990015534
RAILROAD MEDICARE
01
P14964
BCBS POS PRIMARY
01
W3990008
BCBS FEDERAL
Enumeration date
05/31/2005
Last updated
02/04/2013
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