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Individual

DR. ALEJANDRO GANDSAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 MEDICAL PKWY, ANNAPOLIS, MD 21401-3742
(443) 481-6699
(443) 481-6713
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6573
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08709400
NJ
208600000X
Surgery Physician
Primary
D60748
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403212800
MD
01
CC1923
R/R MEDICARE GROUP #
MD
01
P00349038
R/R MEDICARE PROVIDER #
MD
01
V7930014
CAREFIRST AAPG SURGICAL HOSPITALISTS
01
Y7920002
BCBS
Enumeration date
05/11/2006
Last updated
12/08/2013
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