Individual
DR. SUSAN DANIELA GUMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2480 LLEWELLYN AVE STE 5800, FORT MEADE, MD 20755-5129
(301) 677-8670
Mailing address
2480 LLEWELLYN AVE STE 5800, FORT MEADE, MD 20755-5129
(301) 677-8670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D57048
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111
CAREFIRST BLUE CHOICE
MD
01
—
238785
JHHC PRIORITY PARTNERS
MD
05
—
520098900
—
MD
01
—
6445052
AETNA HMO
MD
01
—
8255610
MAMSI HMO
MD
01
—
9202556
AETNA PPO
MD
01
—
968655-01
CAREFIRST BCBS OF MD
MD
01
—
P19398
CAREFIRST BCBS POS
MD
Enumeration date
09/21/2010
Last updated
02/28/2019
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