Micula-Gondek, Weronika Anna

Micula-Gondek, Weronika Anna is an sole proprietor health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Micula-Gondek, Weronika Anna can be contacted via phone (410) 740-7910.

Contact Information

Primary practice address
5755 Cedar Ln Columbia MD 21044-2912
Phone: (410) 740-7910
Fax: (410) 740-7517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X D76792 Maryland
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X MD039527 District of Columbia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD039527 District of Columbia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D76792 Maryland

Profile Details

NPI number 1760682942
LBN Legal business name Micula-Gondek, Weronika Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Aug 10th, 2020 - about 4 years 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 1760682942 NPPES
Maryland MEDICAID 654016300

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