Provider Demographics
NPI:1134451511
Name:GALLAGHER, PATRICIA (CPM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 W DENNEYS RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4713
Mailing Address - Country:US
Mailing Address - Phone:302-678-5111
Mailing Address - Fax:302-678-0547
Practice Address - Street 1:1933 W DENNEYS RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4713
Practice Address - Country:US
Practice Address - Phone:302-678-5111
Practice Address - Fax:302-678-0547
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1003-10176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife