Individual
GREGORY PENCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
8000 YORK RD, FIELD HOUSE 101, TOWSON, MD 21252-0001
(410) 704-2890
(410) 704-2727
Mailing address
8000 YORK RD, FIELD HOUSE 101, TOWSON, MD 21252-0001
(410) 704-2890
(410) 704-2727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000071
MD
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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