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Individual

DR. CRISTETA LORICA GATDULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
202 HOSPITAL DR, GLEN BURNIE, MD 21061-5802
(410) 760-2311
(410) 760-8219
Mailing address
202 HOSPITAL DR, GLEN BURNIE, MD 21061-5802
(410) 760-2311
(410) 760-8219

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
320400-01
BLUE CROSS BLUE SHIELD
MD
01
52041
AMERIGROUP
MD
Enumeration date
12/28/2006
Last updated
07/08/2007
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