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Organization

DR. FRED GELIN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRED GELIN D.P.M. (PRESIDENT)
(410) 288-0666
Entity
Organization

Contact information

Practice address
7809 WISE AVE, BALTIMORE, MD 21222-3339
(410) 288-0666
(410) 288-0667
Mailing address
7809 WISE AVE, BALTIMORE, MD 21222-3339
(410) 288-0666
(410) 288-0667

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
551
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
319788
MDIPA
MD
01
3584341
AETNA HMO
MD
01
4379918
AETNA PPO
MD
05
769638800
MD
01
R003-0001
BC/BS FEDERAL
01
T159FR
BC/BS
MD
Enumeration date
07/01/2005
Last updated
12/19/2008
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