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Organization

GHEVONT WARTANIAN MD PA

Active
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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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