Individual
JAMES RICHARD GAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 MILFORD STREET, SUITE 101, SALISBURY, MD 21804
(410) 742-1567
(410) 742-1906
Mailing address
106 MILFORD STREET, SUITE 101, SALISBURY, MD 21804
(410) 742-1567
(410) 742-1906
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D35485
MD
207YX0602X
Otolaryngic Allergy Physician
D35485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094181600
—
MD
01
—
282161300
IND MEDICAID
MD
Enumeration date
10/12/2006
Last updated
08/23/2010
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