Individual
DR. INNA GENDELSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 YORK RD, SUITE # 38, LUTHERVILLE, MD 21093-6210
(410) 825-4979
(410) 296-3630
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051454
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2457712
AETNA
MD
01
—
KF68 / 548613-03
BC/BS OF MD
MD
01
—
S190 / 0010
BLUE CHOICE
MD
Enumeration date
07/09/2006
Last updated
06/09/2010
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