Gaillard, Stephanie Louise

Gaillard, Stephanie Louise is an individual health care provider with primary practice located at 401 N Broadway Room 1361, Baltimore MD 21231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Gaillard, Stephanie Louise can be contacted via phone (410) 955-3707.

Contact Information

Primary practice address
401 N Broadway Room 1361 Baltimore MD 21231
Fax: (410) 955-8587
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D69970 Maryland

Profile Details

NPI number 1689729212
LBN Legal business name Gaillard, Stephanie Louise
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689729212 NPPES
Maryland MEDICAID 116742100

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