Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101268243 | VA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 01072242A | IN |
N | 207XX0801X | Orthopaedic Trauma Surgeon | ME 112059 | FL |
NPI | 1003017286 |
---|---|
Provider Name | Dr. Greg E Gaski |
First Address | Baltimore, MD 21297-3174 |
Second Address | Fairfax, VA 22031-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101268243 | VA BOARD OF MEDICINE (01) | VA |
201157070 | (05) | IN |