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Individual

DR. ROGER GREGORY MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5158 BLACK HAWK RD, BLDG E-1570, GUNPOWDER, MD 21010-5403
(410) 417-2879
(410) 436-4117
Mailing address
5158 BLACK HAWK RD, BLDG E-1570, GUNPOWDER, MD 21010-5403
(410) 417-2879
(410) 436-4117

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
D0045656
MD

Other

Enumeration date
02/09/2010
Last updated
02/17/2014
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