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NPI Code Detail

MEDICARE: LAURA RACHELLE GAFFNEY M.D.

MEDICARE: LAURA RACHELLE GAFFNEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD54002MD

General Provider Information

NPI Number : 1215973441
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA RACHELLE GAFFNEY M.D.
Provider Business Mailing Address
First Line : 3418 BEECH AVENUE
Second Line :
City : BALTIMORE
State : MD
Zip : 21211-2643
Country : US
Telephone Number : 410-938-5252
Fax Number : 410-938-5250
Provider Business Practice Location Address
First Line : 6535 NORTH CHARLES STREET
Second Line : SUITE 300
City : TOWSON
State : MD
Zip : 21204-6819
Country : US
Telephone Number : 410-938-5252
Fax Number : 410-938-5250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/08/2007

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