Individual
GENE DAFFERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 NORTH AVE, SUITE 102, BEL AIR, MD 21014-2303
(410) 838-6345
(410) 838-1595
Mailing address
2 NORTH AVE, SUITE 102, BEL AIR, MD 21014-2303
(410) 838-6345
(410) 838-1595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0024998
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378421500
—
MD
Enumeration date
02/24/2006
Last updated
01/13/2014
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