Individual
ABIGAIL GRACE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 848-3000
Mailing address
5106 AVOCA AVE, ELLICOTT CITY, MD 21043-6615
(443) 878-7254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1215954
MD
207R00000X
Internal Medicine Physician
1215954
MD
363A00000X
Physician Assistant
Primary
C09160
MI
Other
Enumeration date
10/24/2023
Last updated
12/01/2023
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