Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DOO36828 | MD |
NPI | 1063451508 |
---|---|
Provider Name | Dr. Michael W. Gallagher |
First Address | Rockville, MD 20850-3348 |
Second Address | Rockville, MD 20850-3348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0631211300 | (05) | MD |
E47780 | (02) | MD |