Healthcare Provider Details

I. General information

NPI: 1366067605
Provider Name (Legal Business Name): DR. GABRIEL S HAMAWI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 PROSPECT ST STE S201
NASHUA NH
03060-3957
US

IV. Provider business mailing address

PO BOX 3677
NASHUA NH
03061-3677
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3230
  • Fax: 603-577-3234
Mailing address:
  • Phone: 603-577-7900
  • Fax: 603-577-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0389
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: