Healthcare Provider Details

I. General information

NPI: 1770108128
Provider Name (Legal Business Name): DENIZE E GALLAGHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 PIEDMONT CENTER PLZ
GAINESVILLE VA
20155-4036
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 571-472-0935
  • Fax: 571-665-6762
Mailing address:
  • Phone: 571-423-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101282975
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: