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1538109186
BRENT G PETTY
BALTIMORE, MD
NPI
1538109186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D23399)
Enumeration Date
2006-06-08
Last Update Date
2013-02-14
Business Address
-- BRENT G PETTY M.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-9434
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Mailing Address
-- BRENT G PETTY M.D.
PO BOX 64264
BALTIMORE, MD 21264-4264
Phone number: 410-955-9434
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