Individual
MISS KATERINA NESTE GALLISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE RM 588, BALTIMORE, MD 21224
(410) 550-0942
(410) 550-0443
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
29505
PR
207L00000X
Anesthesiology Physician
Primary
D85192
MD
Other
Enumeration date
09/23/2013
Last updated
07/10/2018
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