Gatdula & Gatula M.D., P.A.
Specialist in Glen Burnie, MD. Organization (NPI-2).
NPI number1104063247
StatusActive
Last updated in NPPESJan 12, 2009
Details
- NPI
- 1104063247
- Entity type
- Organization (NPI-2)
- Legal business name
- Gatdula & Gatula M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2009
- Last updated
- Jan 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | D0016990 | MD | Yes |
Practice location
202 Hospital DrGlen Burnie, MD 21061-5802
Phone 410-760-2311 · Fax 410-760-8219
Mailing address
202 Hospital DrGlen Burnie, MD 21061-5802
Phone 410-760-2311 · Fax 410-760-8219
Authorized official
Cristeta Lorica Gatdula
Vice President
4107602311
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