Detore, Gregory R

Detore, Gregory R is an individual health care provider with primary practice located at 6701 N Charles St Ste 4226 , Towson MD 21204-6808. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Detore, Gregory R can be contacted via phone (410) 296-4616.

Contact Information

Primary practice address
6701 N Charles St Ste 4226 Towson MD 21204-6808
Phone: (410) 296-4616
Fax: (410) 337-5068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D83201 Maryland

Profile Details

NPI number 1932382454
LBN Legal business name Detore, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Oct 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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