| Annette C. Gonsalves, MD | |
|
6 Post Office Rd Suite 100 Waldorf MD 20602-2746 | |
| (301) 843-0500 | |
| (301) 645-0041 |
| Full Name | Annette C. Gonsalves, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Post Office Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Annette C Gonsalves (PRACTICE OWNER) |
| Authorized Official Contact | 3018430500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette C. Gonsalves, MD 6 Post Office Rd Suite 100 Waldorf MD 20602-2746 Ph: (301) 843-0500 | Annette C. Gonsalves, MD 6 Post Office Rd Suite 100 Waldorf MD 20602-2746 Ph: (301) 843-0500 |
| NPI Number | 1184897738 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Medicare PECOS PAC ID | 5193802569 |
|---|---|
| Medicare Enrollment ID | O20080409000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184897738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D19947 (Maryland) | Primary |
| Provider Name | Annette C Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306910716 PECOS PAC ID: 9931286309 Enrollment ID: I20080409000412 |
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