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Individual

GARY P LUPPENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 MILFORD ST, SALISBURY, MD 21804-6952
(410) 749-9290
(410) 543-9087
Mailing address
101 MILFORD ST, SALISBURY, MD 21804-6952
(410) 749-9290
(410) 543-9087

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0022099
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000090501
DE
05
006340709
VA
01
20886
MAMSI
01
331190
CAREFIRST BCBS
MD
01
4410364
AETNA
05
961001400
MD
01
T6990004
CAREFIRST BLUE CHOICE
MD
Enumeration date
12/14/2006
Last updated
04/14/2014
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