Provider Demographics
NPI:1609875319
Name:GELS, DUANE M (MD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:M
Last Name:GELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7801
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-7800
Mailing Address - Country:US
Mailing Address - Phone:410-573-1600
Mailing Address - Fax:410-573-5841
Practice Address - Street 1:129 LUBRANO DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7564
Practice Address - Country:US
Practice Address - Phone:410-573-1600
Practice Address - Fax:410-573-5841
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0040281207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
355610OtherMAMSI
Y9730001OtherCAREFIRST
2623527OtherAETNA HMO
52073512OtherBCBS
F1570001OtherBCBS DC
MD52073518OtherBCBS
MD52073519OtherBCBS
597234OtherAETNA PPO
Y9740001OtherCAREFIRST
Y9760001OtherCAREFIRST
0001OtherBCBS
MD225140Medicare PIN
52073512OtherBCBS
Y9730001OtherCAREFIRST
200865YHNPMedicare PIN
F1570001OtherBCBS DC
0001OtherBCBS
MD52073518OtherBCBS
200865YHB3Medicare PIN