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Individual

SUSAN L GEARHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5464
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D55988
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226001800
MD
Enumeration date
06/01/2006
Last updated
02/06/2013
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