Individual
DONNA J. GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 OLDE GREENWICH DR, SUITE 220, FREDERICKSBURG, VA 22408-4001
(540) 898-8001
(540) 898-2127
Mailing address
125 OLDE GREENWICH DR, SUITE 220, FREDERICKSBURG, VA 22408-4001
(540) 898-8001
(540) 898-2127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101840583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139201
—
VA
01
—
P00213352
RAILROAD MEDICARE
VA
Enumeration date
10/18/2005
Last updated
07/30/2010
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