Individual
GREGORY GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(240) 566-4500
(301) 694-5554
Mailing address
111 LODER ST, HORNELL, NY 14843-1950
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D39954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758511000
—
MD
Enumeration date
07/14/2005
Last updated
08/30/2023
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