| Gabisa Medical Ma PLLC | |
|
Boston Logan International Airport Terminal E (at Door E107) Boston MA 02128 | |
| (617) 874-8059 | |
| (347) 926-0988 |
| Full Name | Gabisa Medical Ma PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | Boston Logan International Airport, Boston, Massachusetts |
| Authorized Official Name and Position | Jonathan Keith Joseph (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7189151305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabisa Medical Ma PLLC 106 W 131st St New York NY 10027-2031 Ph: (718) 915-1305 | Gabisa Medical Ma PLLC Boston Logan International Airport Terminal E (at Door E107) Boston MA 02128 Ph: (617) 874-8059 |
| NPI Number | 1710580550 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710580550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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