Individual
GABRIELL BUDOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Mailing address
231 COOLIDGE AVE APT 412, WATERTOWN, MA 02472-1561
(914) 645-4298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2318664
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
7860
CT
Other
Enumeration date
08/08/2018
Last updated
09/24/2018
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