Individual
DR. GARY DAVID PLOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4394
(410) 328-3530
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-4394
(410) 328-3530
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D09459
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182597000
—
WV
05
—
034325600
—
DC
05
—
1588626600
—
DE
05
—
394791200
—
MD
01
—
419301-01
BLUE CROSS/BLUE SHIELD
MD
05
—
5841119
—
VA
05
—
8509808
—
NJ
Enumeration date
04/04/2006
Last updated
11/08/2010
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