DR. MARY CAROLYN GAMACHE M.D. NPI 1639176860

NPI Information

DR. Mary Carolyn Gamache, M.D. is a cardiovascular disease internal medicine in Saint Louis, MO with 39 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mary Carolyn Gamache, M.D. NPI is 1639176860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

450 N NEW BALLAS RD
SUITE 170
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 993-6969
Fax: (314) 993-0792

The NPI 1639176860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 6/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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