Healthcare Provider Details

I. General information

NPI: 1750335881
Provider Name (Legal Business Name): MARGARET G GAFFNEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 N SHERMAN DR
INDIANAPOLIS IN
46226-4462
US

IV. Provider business mailing address

8910 PURDUE RD STE.500
INDIANAPOLIS IN
46268-6100
US

V. Phone/Fax

Practice location:
  • Phone: 317-541-3400
  • Fax: 317-541-3444
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number01031236A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: