MEDICARE: MAGDA GAD

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
1	101YM0800X	Mental Health Counselor		MA

General Provider Information

NPI Number	:	1821927757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDA GAD

Provider Business Mailing Address
First Line	:	10A FITZGERALD LN
Second Line	:
City	:	SOUTHBOROUGH
State	:	MA
Zip	:	01772-2175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 MOUNT ROYAL AVE
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1985
Country	:	US
Telephone Number	:	508-590-9857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ MAGDA GAD ” Practice Location

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