Individual provider · NPI-1

Dr. Somajita Ghosal, M.D.

Internal Medicine · Belcamp, MD

NPI number1154473999
StatusActive
Last updated in NPPESMay 9, 2013

Details

NPI
1154473999
Entity type
Individual (NPI-1)
Name
Dr. Somajita Ghosal
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2007
Last updated
May 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD0069344MDYes

Practice location

103 Bata Blvd Ste A
Belcamp, MD 21017-1420

Phone 410-575-6611

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803

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