Organization
ANNETTE C. GONSALVES, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE C GONSALVES M.D. (PRACTICE OWNER)
(301) 843-0500
Entity
Organization
Contact information
Practice address
6 POST OFFICE RD, SUITE 100, WALDORF, MD 20602-2746
(301) 843-0500
(301) 645-0041
Mailing address
6 POST OFFICE RD, SUITE 100, WALDORF, MD 20602-2746
(301) 843-0500
(301) 645-0041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D19947
MD
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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