Healthcare Provider Details

I. General information

NPI: 1568301497
Provider Name (Legal Business Name): GAYLE MAE PARELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

486 CHESTNUT ST
GARDNER MA
01440-3050
US

IV. Provider business mailing address

99 MICHAEL LN
ORANGE MA
01364-2018
US

V. Phone/Fax

Practice location:
  • Phone: 413-325-5863
  • Fax:
Mailing address:
  • Phone: 413-325-5863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: