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NPI Code Detail

MEDICARE: ZACHARY GUMALO ABOT

MEDICARE: ZACHARY GUMALO ABOT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN200005064DC

General Provider Information

NPI Number : 1114865979
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY GUMALO ABOT
Provider Business Mailing Address
First Line : 15109 WANNAS DR
Second Line :
City : ACCOKEEK
State : MD
Zip : 20607-9752
Country : US
Telephone Number : 240-601-4228
Fax Number :
Provider Business Practice Location Address
First Line : 110 IRVING ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-3017
Country : US
Telephone Number : 202-877-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ZACHARY GUMALO ABOT ” Practice Location

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