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NPI Code Detail

MEDICARE: CAROLINA GAPUD MD

MEDICARE:   CAROLINA  GAPUD  MD
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
1208000000XPediatrics Physician002167NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679566798
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA GAPUD MD
Provider Business Mailing Address
First Line : 2 LAKEVILLE BUSINESS PARK
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1236
Country : US
Telephone Number : 508-947-0630
Fax Number : 508-947-0639
Provider Business Practice Location Address
First Line : 2 LAKEVILLE BUSINESS PARK
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1236
Country : US
Telephone Number : 508-947-0630
Fax Number : 508-947-0639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 10/27/2011

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Directions to “ CAROLINA GAPUD MD” Practice Location

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