# ANNETTE C. GONSALVES, MD

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

## Provider details

- **NPI number:** 1184897738
- **Authorized official:** ANNETTE C GONSALVES M.D. (PRACTICE OWNER)
- **Authorized official phone:** (301) 843-0500

## Contact information

- **Practice address:** 6 POST OFFICE RD, SUITE 100, WALDORF, MD 20602-2746
- **Practice address phone:** (301) 843-0500
- **Practice address fax:** (301) 645-0041
- **Mailing address:** 6 POST OFFICE RD, SUITE 100, WALDORF, MD 20602-2746
- **Mailing address phone:** (301) 843-0500
- **Mailing address fax:** (301) 645-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D19947 | MD | Yes |

## Other

- **Enumeration date:** 04/03/2008
- **Last updated:** 04/03/2008