Gausas, Roberta E

Gausas, Roberta E is an individual health care provider with primary practice located at 3801 Filbert St , Philadelphia PA 19104-2640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Gausas, Roberta E can be contacted via phone (215) 662-8100.

Contact Information

Primary practice address
3801 Filbert St Philadelphia PA 19104-2640
Phone: (215) 662-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD058606L Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD058606L Pennsylvania

Profile Details

NPI number 1104852433
LBN Legal business name Gausas, Roberta E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 11th, 2018 - about 7 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 1104852433 NPPES
Pennsylvania MEDICAID 0015981890002

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