Individual
MARIA ELISE GARGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, D2129, BOSTON, MA 02215-5418
(617) 632-5055
Mailing address
450 BROOKLINE AVE, D2129, BOSTON, MA 02215-5418
(617) 632-5055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
05/17/2016
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