Healthcare Provider Details

I. General information

NPI: 1992776009
Provider Name (Legal Business Name): DUANE M GELS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 12/30/2010
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 64518
BALTIMORE MD
21264-4518
US

V. Phone/Fax

Practice location:
  • Phone: 410-573-1600
  • Fax: 410-573-5841
Mailing address:
  • Phone: 443-481-6467
  • Fax: 443-481-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DUANE GELS
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 410-573-1600