1194239046 NPI number — MRS. MARGARET FAUST GALLEGOS MS, CGC

Table of content: MRS. MARGARET FAUST GALLEGOS MS, CGC (NPI 1194239046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194239046 NPI number — MRS. MARGARET FAUST GALLEGOS MS, CGC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GALLEGOS
Provider First Name:
MARGARET
Provider Middle Name:
FAUST
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, CGC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FAUST
Provider Other First Name:
MARGARET
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, CGC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1194239046
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 MEDICAL PARKWAY
Provider Second Line Business Mailing Address:
DONNER PAVILION
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-481-5989
Provider Business Mailing Address Fax Number:
443-481-5854

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 MEDICAL PARKWAY
Provider Second Line Business Practice Location Address:
DONNER PAVILION
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-481-5989
Provider Business Practice Location Address Fax Number:
443-481-5854
Provider Enumeration Date:
11/29/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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