Individual
CRISTINA A GAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216967
MA
208M00000X
Hospitalist Physician
216967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110039374A
—
MA
01
—
AA22833
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
11/30/2005
Last updated
10/29/2020
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