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Individual

JEREMIAH J GOROSPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3311 TOLEDO TER STE A1, HYATTSVILLE, MD 20782-4136
(301) 853-0093
(301) 853-0096
Mailing address
14205 PARK CENTER DR STE 204, LAUREL, MD 20707-5252
(301) 853-0093
(301) 853-0096

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
N2968
MD

Other

Enumeration date
04/08/2020
Last updated
04/09/2020
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