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NPI Code Detail

MEDICARE: ELIZABETH GABOUR

MEDICARE: ELIZABETH GABOUR
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
1183500000XPharmacistPH237183MA

General Provider Information

NPI Number : 1275146169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GABOUR
Provider Business Mailing Address
First Line : 399 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1536
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 399 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1536
Country : US
Telephone Number : 617-658-6421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 08/28/2020

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Directions to “ ELIZABETH GABOUR ” Practice Location

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