Individual
DR. MICHAEL GASPAROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2977 4H PARK RD STE 202, CENTREVILLE, MD 21617-2226
(410) 989-9859
(877) 451-0302
Mailing address
2977 4H PARK RD STE 202, CENTREVILLE, MD 21617-2226
(410) 989-9859
(877) 451-0302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0067888
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228820
—
NY
Enumeration date
09/02/2005
Last updated
11/28/2023
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