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Individual

LAUREL A GAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1030 PRESIDENT AVE, SUITE 3001, FALL RIVER, MA 02720-5923
(508) 676-3411
(508) 235-6457
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000267
CT
363A00000X
Physician Assistant
Primary
PA2493
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001226216
CT
01
00122621600
EDS BLUE CARE
01
100267
CT
01
290000267CT
ANTHEM
01
2V0054
HEALTH NET
01
P3212169
OXFORD
Enumeration date
08/18/2006
Last updated
04/22/2014
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