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Individual

DR. GABRIELA B MASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
07058
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110042588A
MA
01
300020525
RR MEDICARE
RI
05
7000160
RI
Enumeration date
05/24/2005
Last updated
05/03/2012
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