Individual
DR. GWEN LYNN DU BOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 W BELVEDERE AVE, 504, BALTIMORE, MD 21215-5228
(410) 601-0070
(410) 601-0290
Mailing address
2411 W BELVEDERE AVE, 504, BALTIMORE, MD 21215-5228
(410) 601-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0030942
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369401100
—
MD
Enumeration date
09/13/2006
Last updated
07/08/2007
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