Individual
DR. FOTIS GREGORY SOUSLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-4417
(410) 601-7138
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-4417
(410) 601-7138
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20456
MN
207T00000X
Neurological Surgery Physician
69713
WI
207T00000X
Neurological Surgery Physician
Primary
D0099701
MD
207T00000X
Neurological Surgery Physician
DR.0061728
CO
Other
Enumeration date
08/14/2007
Last updated
09/17/2024
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