Individual
DR. CAROLINE GERNELL DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 PARK AVE, SUITE 200, BALTIMORE, MD 21201-5633
(443) 738-0300
(443) 738-0301
Mailing address
1040 PARK AVE, BALTIMORE, BALTIMORE, MD 21201-5633
(443) 738-0300
(443) 738-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0053063
MD
207R00000X
Internal Medicine Physician
Primary
T7190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01970547
AMERIGROUP MCO
MD
05
—
132190100
—
MD
Enumeration date
08/16/2012
Last updated
12/15/2023
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