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Individual

DEAN GARDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7544
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10161700
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
D96465
MD
2085R0202X
Diagnostic Radiology Physician
MD163925
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500660817
OR
Enumeration date
02/16/2007
Last updated
07/13/2023
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