Individual
MARK STEVEN GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6781 NORRIS LN, ELKRIDGE, MD 21075-5727
(410) 294-0715
(410) 902-8247
Mailing address
6781 NORRIS LN, ELKRIDGE, MD 21075-5727
(410) 294-0715
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D00058082
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0058082
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0058082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110946
UNITED
—
01
—
61984601
BC BS MARYLAND
MD
01
—
E5540029
BLUE CHOICE
MD
Enumeration date
03/14/2007
Last updated
02/15/2022
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