Provider Demographics
NPI:1194239046
Name:GALLEGOS, MARGARET FAUST (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:FAUST
Last Name:GALLEGOS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:2001 MEDICAL PARKWAY
Mailing Address - Street 2:DONNER PAVILION
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:443-481-5989
Mailing Address - Fax:443-481-5854
Practice Address - Street 1:2001 MEDICAL PARKWAY
Practice Address - Street 2:DONNER PAVILION
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:443-481-5989
Practice Address - Fax:443-481-5854
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS