Individual
KATHLEEN M GOTZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 N UNION AVE, HAVRE DE GRACE, MD 21078-2825
(410) 939-3121
(410) 939-8278
Mailing address
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4375
(443) 643-4300
(443) 643-4351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952900400
—
MD
Enumeration date
08/19/2005
Last updated
04/27/2011
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