Doctor Name: | DR. WILFREDO GAMEZ |
NPI Number: | 1568740843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301095739 |
Business Practice Address: | 6121 Montrose Rd Rockville, MD - 208524803 |
Business Phone Number: | 3017708377 |
Business Fax Number: | 3018167716 |
Mailing Address: | 6121 Montrose Rd, ROCKVILLE |
State: | MD |
Postal Code: | 208524803 |
Phone Number: | 3017708377 |
Fax Number: | 3018167716 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301095739 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |