Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0075190 | MD |
N | 111NI0900X | Internist | D0075190 | MD |
Y | 207RA0201X | Internist - Allergy & Immunology | MD040882 | DC |
NPI | 1851690390 |
---|---|
Provider Name | Dr. Martin Robert Gaudinski |
First Address | Bethesda, MD 20814 |
Second Address | Bethesda, MD 20814-2081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 26/04/2019 |