Gavala, Cristina A
Gavala, Cristina A is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gavala, Cristina A can be contacted via phone (508) 334-8515.Contact Information
Primary practice address
119 Belmont St
Worcester MA 01605-2903
Phone: (508) 334-8515
Fax: (508) 334-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 216967 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 216967 | Massachusetts |
Profile Details
| NPI number | 1316921802 |
|---|---|
| LBN Legal business name | Gavala, Cristina A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Oct 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316921802 | NPPES |
| Massachusetts | MEDICAID | 110039374A | |
| Massachusetts | Other | AA22833 |
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