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Individual

GERALD GAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
14090 HG TRUEMAN RD STE 2500, SOLOMONS, MD 20688-3151
(410) 535-2005
(410) 435-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-4020
(410) 414-5329
(410) 535-4820

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/05/2020
Last updated
06/05/2020
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