Gage, Deborah Marie

Gage, Deborah Marie is an individual health care provider with primary practice located at 3100 Mountain Rd , Pasadena MD 21122-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gage, Deborah Marie can be contacted via phone (410) 360-4446.

Contact Information

Primary practice address
3100 Mountain Rd Pasadena MD 21122-2018
Fax: (410) 360-4449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0066843 Maryland

Profile Details

NPI number 1255373759
LBN Legal business name Gage, Deborah Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 24th, 2009 - about 17 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 1255373759 NPPES
Maryland MEDICAID 415156900
Maryland MEDICAID 0018578430004
Maryland Other 6782399
Maryland Other 7472244

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