Organization
JOHN GAMBRILL JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIDGET DEMETRUIS DAVENPORT (CREDENTIAL MANAGER)
(443) 804-9858
Entity
Organization
Contact information
Practice address
715 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5999
(410) 247-5602
Mailing address
715 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5999
(410) 247-5602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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