Individual
GABRIELE SOUTHGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
87 MCGREGOR STREET, HEMATOLOGY/ONCOLOGY, MANCHESTER, NH 03102
(603) 629-1828
Mailing address
87 MCGREGOR STREET, HEMATOLOGY/ONCOLOGY, MANCHESTER, NH 03102
(603) 629-1828
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
16292
NH
207RH0003X
Hematology & Oncology Physician
76326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086451
—
NH
05
—
3155927
—
MA
Enumeration date
11/23/2005
Last updated
01/11/2019
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