Individual
ALFONSO ANGEL GOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2114 GENERALS HWY, ANNAPOLIS, MD 21401-7488
(888) 808-6483
(410) 721-2656
Mailing address
PO BOX 6725, ANNAPOLIS, MD 21401-0725
(888) 808-6483
(410) 721-2656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M D036246L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007152350002
—
PA
Enumeration date
03/06/2007
Last updated
03/07/2023
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