Gabriel, Alis G

Gabriel, Alis G is an sole proprietor health care provider with primary practice located at 496 Lynnfield St , Lynn MA 01904-1423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Gabriel, Alis G can be contacted via phone (781) 593-3400.

Contact Information

Primary practice address
496 Lynnfield St Lynn MA 01904-1423
Fax: (781) 477-1195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 161365 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 161365 Massachusetts

Profile Details

NPI number 1356397137
LBN Legal business name Gabriel, Alis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Jul 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356397137 NPPES
Massachusetts MEDICAID 0127035

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