Provider Demographics
NPI:1225293772
Name:GAUGER, BARBARA J (DO)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:GAUGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7051
Mailing Address - Country:US
Mailing Address - Phone:716-631-1281
Mailing Address - Fax:716-631-1284
Practice Address - Street 1:15 LIMESTONE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7051
Practice Address - Country:US
Practice Address - Phone:716-631-1281
Practice Address - Fax:716-631-1284
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162651-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice