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Individual

THOMAS P GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12400 HATTON POINT RD, FORT WASHINGTON, MD 20744-7015
(301) 292-6239
Mailing address
12400 HATTON POINT RD, FORT WASHINGTON, MD 20744-7015
(301) 292-6239

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0021607
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026557800
DC
05
284411700
MD
Enumeration date
07/20/2005
Last updated
09/19/2016
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