Individual
GLORIA NABAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FRUIT ST, WHITE 1, BOSTON, MA 02114-2621
(617) 724-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4748
MA
Other
Enumeration date
07/07/2013
Last updated
02/25/2019
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