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NPI Code Detail

MEDICARE: CYNTHIA GAO

MEDICARE: CYNTHIA GAO
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 PhysicianD0100323MD

General Provider Information

NPI Number : 1609453190
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA GAO
Provider Business Mailing Address
First Line : 11055 LITTLE PATUXENT PKWY STE 103
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2908
Country : US
Telephone Number : 443-664-3829
Fax Number :
Provider Business Practice Location Address
First Line : 11055 LITTLE PATUXENT PKWY STE 103
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2908
Country : US
Telephone Number : 443-664-3829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 01/28/2025

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Directions to “ CYNTHIA GAO ” Practice Location

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