Individual
ALIS G GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
496 LYNNFIELD ST, LYNN, MA 01904-1423
(781) 593-3400
(781) 477-1195
Mailing address
PO BOX 930, SALEM, MA 01970-5830
(978) 825-6581
(978) 825-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161365
MA
207RP1001X
Pulmonary Disease Physician
Primary
161365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127035
—
MA
Enumeration date
05/25/2006
Last updated
07/15/2015
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