Provider Demographics
NPI:1932312261
Name:GURNICK, PAMELA M (MD, MPH, FACP)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:M
Last Name:GURNICK
Suffix:
Gender:F
Credentials:MD, MPH, FACP
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:M
Other - Last Name:PEEKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH, FACP
Mailing Address - Street 1:5413 W. CEDAR LANE
Mailing Address - Street 2:SUITE 206-C
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-897-3333
Mailing Address - Fax:877-748-1049
Practice Address - Street 1:5413 W. CEDAR LANE
Practice Address - Street 2:SUITE 206-C
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-897-3333
Practice Address - Fax:877-748-1049
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine