Individual
DR. GREGORY HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7475 WISCONSIN AVE, SUITE 350, BETHESDA, MD 20814-3412
(301) 986-8010
(301) 986-8011
Mailing address
104 KING FARM BLVD, APT. C303, ROCKVILLE, MD 20850-5862
(301) 963-0963
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0046681
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0046681
MD LICENSE
MD
Enumeration date
10/17/2006
Last updated
07/08/2007
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