Individual
DR. GREGORY CHRISTOPHER FERNANDOPULLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3454 ELLICOTT CENTER DR, SUITE 106, ELLICOTT CITY, MD 21043
(410) 461-3760
(410) 461-0526
Mailing address
3454 ELLICOTT CENTER DR, SUITE 106, ELLICOTT CITY, MD 21043
(410) 461-3760
(410) 461-0526
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D15401
MD
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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