Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | D00058082 | MD |
Y | 207RP1001X | Pulmonary Disease | D0058082 | MD |
N | 207RS0012X | Sleep Medicine | D0058082 | MD |
NPI | 1003949348 |
---|---|
Provider Name | Mark Steven Gosnell |
First Address | Towson, MD 21286-5457 |
Second Address | Towson, MD 21286-5466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 14/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2110946 | UNITED (01) | |
61984601 | BC BS MARYLAND (01) | MD |
E5540029 | BLUE CHOICE (01) | MD |
H86480 | (02) |