Healthcare Provider Details

I. General information

NPI: 1265414205
Provider Name (Legal Business Name): CHRISTINE GAREY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 02/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BYRN ST
CAMBRIDGE MD
21613-1908
US

IV. Provider business mailing address

29 CREAMERY LN
EASTON MD
21601-3137
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-1000
  • Fax:
Mailing address:
  • Phone: 410-819-0710
  • Fax: 410-819-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0046203
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: