Organization
DOCTORS EMERGENCY SERVICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S GUMMERSON M.D. (PRESIDENT)
(443) 481-1366
Entity
Organization
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1366
Mailing address
9900 FRANKLIN SQUARE DR STE B, BALTIMORE, MD 21236-5915
(410) 931-0400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90530
—
MD
01
—
S464DO
BLUE SHIELD
MD
01
—
T239
GHI
DC
Enumeration date
08/17/2006
Last updated
09/18/2012
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