Gilbert Lawrence Mottla M.D.

NPI 1063407948 - Specialist - 174400000X

NPI Details
NPI 1063407948
Gender Male
Enumeration Date 09/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2002 MEDICAL PKWY
SUITE 300
ANNAPOLIS MD, 21401-3046, US
Phone (410) 224-5500
Fax
Business Location
15001 SHADY GROVE RD
SUITE 340
ROCKVILLE MD, 20850-6352, US
Phone (301) 340-1188
Fax (301) 340-6478
Toxanomy
Taxonomy Code 174400000X
License State Maryland
License Number D42874
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According to our database, Dr. Gilbert Lawrence Mottla M.D. NPI is 1063407948, taxonomy code is 174400000X and license number is D42874, license state is located at Maryland. Gilbert Lawrence Mottla M.D. physically located at 2002 Medical Pkwy, Annapolis MD, 21401-3046. NPI Number Gilbert Lawrence Mottla M.D. has the Individual type.

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1063407948 NPI number is provided on an as is basis without warranty of any kind. 1063407948 is maintained by the National Plan & Provider Enumeration System. The contents of Gilbert Lawrence Mottla M.D. are for informational purposes only.