Annette C. Gonsalves, Md | |
6 Post Office Rd Suite 100 Waldorf MD 20602-2746 | |
(301) 843-0500 | |
(301) 645-0041 |
Full Name | Annette C. Gonsalves, Md |
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Speciality | Internal Medicine |
Location | 6 Post Office Rd, Waldorf, Maryland |
Authorized Official Name and Position | Annette C Gonsalves (PRACTICE OWNER) |
Authorized Official Contact | 3018430500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Annette C. Gonsalves, Md 6 Post Office Rd Suite 100 Waldorf MD 20602-2746 Ph: (301) 843-0500 | Annette C. Gonsalves, Md 6 Post Office Rd Suite 100 Waldorf MD 20602-2746 Ph: (301) 843-0500 |
NPI Number | 1184897738 |
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Provider Enumeration Date | 04/03/2008 |
Last Update Date | 04/03/2008 |
Medicare PECOS PAC ID | 5193802569 |
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Medicare Enrollment ID | O20080409000425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184897738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D19947 (Maryland) | Primary |
Provider Name | Annette C Gonsalves |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306910716 PECOS PAC ID: 9931286309 Enrollment ID: I20080409000412 |
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