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Andrea Gault, DO
Family Medicine Physician in Annapolis, Maryland
NPI 1891803599

Andrea Gault is a Family Medicine Physician based in Glen Allen, MD. Andrea Gault practices in Annapolis, MD and has the professional credentials of DO. The NPI Number for Andrea Gault is 1891803599 and holds a License No. 65060 (Maryland).

The current practice location address for Andrea Gault is 2051 West St, Annapolis, MD and can be reached out via phone at 443-603-0758.

Location: 2051 West St, Annapolis, MD, 23060-9263
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Provider Profile Details
NPI Number
1891803599
Provider Name
Andrea Gault
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2051 West St, Annapolis, MD, 23060-9263
Phone Number
443-603-0758
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1923578 01 MD AETNA CAPITATED
7387630 01 MD AETNA- FEE FOR SERVICE
2717215 01 MD UNITED HEALTHCARE
8200372 01 MD MAMSI- PRIMARY CARE
P00875673 01 MD RAILROAD MEDICARE
2200372 01 MD MAMSI- SPECIALIST
7605-0099 01 MD CAREFIRST
893418-05 01 MD CAREFIRST MD RENDERING
224132 01 MD JHHC- PROVIDER NUMBER
415385500 05 MD
7605-0099 01 MD BLUE CHOICE
P18266 01 MD CAREFIRST MPOS
institution
Provider Business Practice Location Address Details
Address
2051 West St
City
State
Zip
21401-3006
Phone Number
443-603-0758
Fax Number
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Provider Business Mailing Address Details
Address
2051 West St
City
State
Zip
21401-3006
Phone Number
443-603-0758
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
2180 (West Virginia)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
65060 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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