Gonze, Mark D

Gonze, Mark D is an individual health care provider with primary practice located at 510 Upper Chesapeake Dr Suite 517, Bel Air MD 21014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gonze, Mark D can be contacted via phone (410) 420-4355.

Contact Information

Primary practice address
510 Upper Chesapeake Dr Suite 517 Bel Air MD 21014
Phone: (410) 420-4355
Fax: (410) 420-4366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D54781 Maryland

Profile Details

NPI number 1538121983
LBN Legal business name Gonze, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 11th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538121983 NPPES
Maryland MEDICAID 199106000

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