MEDICARE: DANIEL A GOZZI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D56295	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25430012	OTHER	DC	BLUE CROSS

General Provider Information

NPI Number	:	1316931413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL A GOZZI MD

Provider Business Mailing Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 500
City	:	SUITLAND
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	301-934-8811
Fax Number	:	301-934-9321

Provider Business Practice Location Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 500
City	:	SUITLAND
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	301-934-8811
Fax Number	:	301-934-9321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	03/01/2011

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Directions to “ DANIEL A GOZZI MD” Practice Location

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