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NPI Code Detail

MEDICARE: DR. DEBORAH MARIE GAGE M.D.

MEDICARE:  DR. DEBORAH MARIE GAGE  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
1208000000XPediatrics PhysicianD0066843MD

Other Identifiers

General Provider Information

NPI Number : 1255373759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH MARIE GAGE M.D.
Provider Business Mailing Address
First Line : 3100 MOUNTAIN RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-2018
Country : US
Telephone Number : 410-360-4446
Fax Number : 410-360-4449
Provider Business Practice Location Address
First Line : 3100 MOUNTAIN RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-2018
Country : US
Telephone Number : 410-360-4446
Fax Number : 410-360-4449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 02/24/2009

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