Individual
DR. GRACE K GELLETLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 REMINGTON AVE STE 2000, BALTIMORE, MD 21211
(667) 312-2400
(410) 367-2203
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D29364
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371971500
—
MD
Enumeration date
09/11/2006
Last updated
06/05/2018
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