Individual
GREGORY STANLEON POKRYWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. FACP
Contact information
Practice address
5268 NICHOLSON LN, SUITE S, KENSINGTON, MD 20895-1009
(301) 231-5055
(301) 231-7217
Mailing address
5268 NICHOLSON LN, SUITE S, KENSINGTON, MD 20895-1009
(301) 231-5055
(301) 231-7217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0032939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399261660
—
MD
Enumeration date
02/22/2007
Last updated
03/23/2014
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