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Individual

GWENDOLYN HUBBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201
(410) 328-3477

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301102733
MI
2085R0202X
Diagnostic Radiology Physician
51896
KY
2085R0202X
Diagnostic Radiology Physician
D92494
MD
2085R0204X
Vascular & Interventional Radiology Physician
51896
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D92494
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090088785
DC
05
206644100
MD
Enumeration date
06/24/2008
Last updated
01/24/2022
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