Individual
LOC T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Mailing address
1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D39528
MD
207RG0100X
Gastroenterology Physician
M30908
MD
Other
Enumeration date
09/12/2005
Last updated
03/09/2022
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