Individual
ELIZABETH H GAUFBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1343
Mailing address
25 SWAN RD, WINCHESTER, MA 01890-3719
(617) 665-1343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75806
MA
2084P0800X
Psychiatry Physician
Primary
75806
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110056226
—
MA
Enumeration date
10/03/2006
Last updated
12/19/2012
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