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Individual

DR. GUSTAVO PRADILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, MEYER 8-161, BALTIMORE, MD 21287-0005
(410) 955-6405
Mailing address
2318 BRIGHT LEAF WAY, BALTIMORE, MD 21209-3470
(410) 358-3432

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
070411
GA
207T00000X
Neurological Surgery Physician
Primary
P20471
MD

Other

Enumeration date
01/23/2007
Last updated
11/27/2017
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