Melson, Gabriella Jensen

Melson, Gabriella Jensen is an individual health care provider with primary practice located at 725 Albany St # 8B , Boston MA 02118-3549. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Melson, Gabriella Jensen can be contacted via phone (617) 638-7420.

Contact Information

Primary practice address
725 Albany St # 8B Boston MA 02118-3549
Fax: (617) 638-7289
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 290374 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 290374 Massachusetts

Profile Details

NPI number 1760844971
LBN Legal business name Melson, Gabriella Jensen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2016
Last updated May 31st, 2023 - about 2 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 1760844971 NPPES
Massachusetts MEDICAID 110166003A

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