Individual
RANDYL ERIK GESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 W PATRICK ST STE H, FREDERICK, MD 21703-3974
(301) 662-6478
(301) 662-6427
Mailing address
1100 W PATRICK ST STE H, FREDERICK, MD 21703-3974
(301) 662-6478
(301) 662-6427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01342
WV
363A00000X
Physician Assistant
Primary
C04452
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01342
LICENSE
WV
01
—
C04452
LICENSE
MD
Enumeration date
05/19/2008
Last updated
05/21/2024
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