Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101029563 | VA |
NPI | 1043295348 |
---|---|
Provider Name | Alan J. Gamsey |
First Address | Chesapeake, VA 23320-1706 |
Second Address | Chesapeake, VA 23320-1706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010103037 | (05) | VA |
15138 | SENTARA/OPTIMA (01) | VA |
159479 | BCBS (01) | VA |
65084 | MAMSI/MDIPA (01) | VA |
65084 | UNITEDHEALTHCARE (01) | VA |
890577P | (05) | NC |
B09533 | (02) | VA |