Provider Demographics
NPI:1639157886
Name:RICHARD, GABRIELE (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELE
Middle Name:
Last Name:RICHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:207 PERRY PKWY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2142
Mailing Address - Country:US
Mailing Address - Phone:301-519-2100
Mailing Address - Fax:301-519-2892
Practice Address - Street 1:207 PERRY PKWY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2142
Practice Address - Country:US
Practice Address - Phone:301-519-2100
Practice Address - Fax:301-519-2892
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
99126170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics