Individual
SERGEY KANTSEVOY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-4166
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D54688
MD
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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