1932312261 NPI number — DR. PAMELA M GURNICK MD, MPH, FACP

Table of content: DR. PAMELA M GURNICK MD, MPH, FACP (NPI 1932312261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932312261 NPI number — DR. PAMELA M GURNICK MD, MPH, FACP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GURNICK
Provider First Name:
PAMELA
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH, FACP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PEEKE
Provider Other First Name:
PAMELA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MPH, FACP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1932312261
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5413 W. CEDAR LANE
Provider Second Line Business Mailing Address:
SUITE 206-C
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-897-3333
Provider Business Mailing Address Fax Number:
877-748-1049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5413 W. CEDAR LANE
Provider Second Line Business Practice Location Address:
SUITE 206-C
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-897-3333
Provider Business Practice Location Address Fax Number:
877-748-1049
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0026885 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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