Individual
GREGORIO TERCERO DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 VAN BUREN ST, ANNAPOLIS, MD 21403-2124
(410) 267-9463
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24610
MD
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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