Individual
LISA A GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
70 ATLANTIC AVE, MARBLEHEAD, MA 01945-0121
(781) 631-7800
(781) 631-4319
Mailing address
70 ATLANTIC AVE, MARBLEHEAD, MA 01945-0121
(781) 631-7800
(781) 631-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS9045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273996800
—
FL
Enumeration date
12/19/2005
Last updated
12/12/2022
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