| Montgomery Gastroenterology Pa | |
|
12012 Veirs Mill Rd Wheaton MD 20906-4513 | |
| (301) 942-3550 | |
| (301) 933-3621 |
| Full Name | Montgomery Gastroenterology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12012 Veirs Mill Rd, Wheaton, Maryland |
| Authorized Official Name and Position | David B Doman (PRESIDENT) |
| Authorized Official Contact | 3019423550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Gastroenterology Pa 12012 Veirs Mill Rd Wheaton MD 20906-4513 Ph: (301) 942-3550 | Montgomery Gastroenterology Pa 12012 Veirs Mill Rd Wheaton MD 20906-4513 Ph: (301) 942-3550 |
| NPI Number | 1124024682 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 02/04/2011 |
| Medicare PECOS PAC ID | 6608953617 |
|---|---|
| Medicare Enrollment ID | O20080401000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124024682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David B Doman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700889631 PECOS PAC ID: 5597842500 Enrollment ID: I20080530000297 |
| Provider Name | William F Winecoff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295719433 PECOS PAC ID: 5991994709 Enrollment ID: I20110110000803 |
| Provider Name | Joyce Koh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144480484 PECOS PAC ID: 3971752635 Enrollment ID: I20140731001995 |
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