Masko, Gabriela B

Masko, Gabriela B is an individual health care provider with primary practice located at 825 N Main St , Providence RI 02904-5707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Masko, Gabriela B can be contacted via phone (401) 521-9700.

Contact Information

Primary practice address
825 N Main St Providence RI 02904-5707
Phone: (401) 521-9700
Fax: (401) 751-1686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 07058 Rhode Island

Profile Details

NPI number 1285637256
LBN Legal business name Masko, Gabriela B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 3rd, 2012 - about 12 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 1285637256 NPPES
Rhode Island MEDICAID 7000160
Rhode Island Other 300020525
Rhode Island MEDICAID 110042588A

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