GREGORY JOHN PRENDERGAST

BALTIMORE, MD
NPI1881156719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MD  D0094757)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-01
Last Update Date2023-05-08
Business Address
GREGORY JOHN PRENDERGAST
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-9000
Mailing Address
GREGORY JOHN PRENDERGAST
5435 SIMPKINS CT
ELLICOTT CITY, MD 21043-6579
Phone number: 847-370-3716