Individual
ERNEST GREGORY ECKENRODE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10153 YORK RD, HUNT VALLEY, MD 21030-3398
(410) 472-1006
Mailing address
4940 BUCKS SCHOOL HOUSE RD, BALTIMORE, MD 21237-3321
(410) 458-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
10/10/2021
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