Provider Demographics
NPI:1871678870
Name:ANDERSON, GAIL CS (MD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:CS
Last Name:ANDERSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:105 PINE BLUFF RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7199
Mailing Address - Country:US
Mailing Address - Phone:410-341-0005
Mailing Address - Fax:443-736-8762
Practice Address - Street 1:105 PINE BLUFF RD
Practice Address - Street 2:SUITE 9
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7199
Practice Address - Country:US
Practice Address - Phone:410-341-0005
Practice Address - Fax:443-736-8762
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2011-06-06
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Provider Licenses
StateLicense IDTaxonomies
MDD451902085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30222Medicare UPIN
MD174QMedicare ID - Type Unspecified