# G & M COMPREHENSIVE PRIMARY CARE PRACTICE

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

## Provider details

- **NPI number:** 1982280970
- **Authorized official:** MESSANVI GOZO (CRNP)
- **Authorized official phone:** (443) 467-5990

## Contact information

- **Practice address:** 811 MIDDLE RIVER RD, BALTIMORE, MD 21220-3766
- **Practice address phone:** (443) 467-5990
- **Mailing address:** 811 MIDDLE RIVER RD, BALTIMORE, MD 21220-3766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2021
- **Last updated:** 03/23/2021
