Healthcare Provider Details

I. General information

NPI: 1730180100
Provider Name (Legal Business Name): HAROLD JOSEPH GELFAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WRNMMC DEPT OF ANESTHESIOLOGY 8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

4417 HAVERFORD DR
ROCKVILLE MD
20853-1830
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4455
  • Fax: 301-295-5063
Mailing address:
  • Phone: 757-694-1034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0071518
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: