Organization
GHEVONT WARTANIAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHEVONT W WARTANIAN MD (PRESIDENT)
(410) 590-1771
Entity
Organization
Contact information
Practice address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 590-1771
Mailing address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 590-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D19700
MD
207VE0102X
Reproductive Endocrinology Physician
Primary
D19700
MD
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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