Provider Demographics
NPI:1346241346
Name:GILSON, ALLEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:J
Last Name:GILSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7115 GUILFORD DR
Mailing Address - Street 2:SUITE #202
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5199
Mailing Address - Country:US
Mailing Address - Phone:301-663-5922
Mailing Address - Fax:301-663-8292
Practice Address - Street 1:7115 GUILFORD DR
Practice Address - Street 2:SUITE #202
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5199
Practice Address - Country:US
Practice Address - Phone:301-663-5922
Practice Address - Fax:301-663-8292
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2012-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026516207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD330111700Medicaid
MD330111700Medicaid