Healthcare Provider Details

I. General information

NPI: 1740556547
Provider Name (Legal Business Name): DR. ANNA GABRIELIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 NOLL DR
LANCASTER PA
17603-7608
US

IV. Provider business mailing address

30 MEDICAL CENTER BLVD
CHESTER PA
19013-3955
US

V. Phone/Fax

Practice location:
  • Phone: 610-874-6448
  • Fax:
Mailing address:
  • Phone: 484-768-6845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0088610
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberD88610
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: