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Individual
STACY J GAJEWSKI
Active
Individual
STACY J GAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17341
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173412
—
SC
01
—
P00404672
SC MEDICARE RR
SC
Enumeration date
09/25/2006
Last updated
02/18/2026
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