Healthcare Provider Details

I. General information

NPI: 1609875319
Provider Name (Legal Business Name): DUANE M GELS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 11/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 LUBRANO DR SUITE 200
ANNAPOLIS MD
21401-7564
US

IV. Provider business mailing address

PO BOX 7801
BELFAST ME
04915-7800
US

V. Phone/Fax

Practice location:
  • Phone: 410-573-1600
  • Fax: 410-573-5841
Mailing address:
  • Phone: 410-573-1600
  • Fax: 410-573-5841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0040281
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: