Individual
JOHN GREGORY CARLYLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9000 FRANKLIN SQUARE DR, 2 NORTH, BALTIMORE, MD 21237-3901
(443) 777-7179
(443) 777-8242
Mailing address
21 SHORE DR, NORTH EAST, MD 21901-3328
(443) 907-3089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R125772
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408579500
—
MD
Enumeration date
04/17/2006
Last updated
03/06/2013
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