Individual
CARLY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
10755 FALLS RD, STE 200, LUTHERVILLE, MD 21093-4520
(410) 328-6110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0085189
MD
Other
Enumeration date
03/30/2015
Last updated
10/16/2018
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