# MONTGOMERY GASTROENTEROLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124024682
- **Authorized official:** DAVID B DOMAN M.D. (PRESIDENT)
- **Authorized official phone:** (301) 942-3550

## Contact information

- **Practice address:** 12012 VEIRS MILL RD, WHEATON, MD 20906-4513
- **Practice address phone:** (301) 942-3550
- **Practice address fax:** (301) 933-3621
- **Mailing address:** 12012 VEIRS MILL RD, WHEATON, MD 20906-4513
- **Mailing address phone:** (301) 942-3550
- **Mailing address fax:** (301) 933-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 02/04/2011