Individual
DR. IRENE GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2695
(202) 537-4787
(202) 537-4964
Mailing address
2864 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30062-5635
(770) 693-2622
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD31214
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5821738
—
DC
Enumeration date
08/09/2005
Last updated
02/19/2008
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