Organization
GASTROINTESTINAL ASSOCIATES OF MARYLAND PA
Active
Other names
GI Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LEGINA MICHELLE GRAY (PRACTICE ADMINISTRATOR)
(301) 645-8035
Entity
Organization
Contact information
Practice address
3510 OLD WASHINGTON RD STE 201, WALDORF, MD 20602-3235
(301) 645-8035
(301) 645-5229
Mailing address
3510 OLD WASHINGTON RD STE 201, WALDORF, MD 20602-3235
(301) 645-8035
(301) 645-5229
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035197200
—
DC
05
—
155700900
—
MD
Enumeration date
11/16/2005
Last updated
02/05/2018
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