Provider Demographics
NPI:1063451508
Name:GALLAGHER, CLAIRE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:M
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4920 ELM ST STE 225
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-0007
Mailing Address - Country:US
Mailing Address - Phone:240-395-1050
Mailing Address - Fax:240-395-1051
Practice Address - Street 1:4920 ELM ST STE 225
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-0007
Practice Address - Country:US
Practice Address - Phone:240-395-1050
Practice Address - Fax:403-951-0512
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO36828207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0631211300Medicaid
MD0631211300Medicaid