Individual
MS. SAMANTHA ALICE GOMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 895-1440
Mailing address
7170 WOODMONT AVE APT C10, BETHESDA, MD 20815-6279
(570) 856-0892
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C06095
MD
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
08/23/2013
Last updated
03/31/2020
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