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Individual

DR. NORMA V GUNGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST, DEPT OF PEDIATRICS, BALTIMORE, MD 21204-6808
(443) 849-2792
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D26112
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KJ50GB/414671-03
CAREFIRST MARYLAND
MD
01
S139/0006
CAREFIRST REGIONAL
MD
Enumeration date
07/12/2006
Last updated
07/13/2007
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