Individual
STEPHANIE LOUISE GAILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
401 N BROADWAY, ROOM 1361, BALTIMORE, MD 21231
(410) 955-3707
(410) 955-8587
Mailing address
9910 FRANKLIN SQUARE DRIVE, 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D69970
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116742100
—
MD
Enumeration date
01/24/2007
Last updated
07/21/2022
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