Individual
GLORIA MOUSSA-GABOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 E EMERSON ST, MELROSE, MA 02176-3521
(781) 979-4040
(781) 979-0808
Mailing address
20 E EMERSON ST, MELROSE, MA 02176-3521
(781) 979-4040
(781) 979-0808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076850
TUFTS HEALTH PLAN
MA
01
—
080050682
RAIL ROAD MEDICARE
—
05
—
3104206
—
MA
01
—
70396
HPHC
MA
Enumeration date
04/05/2006
Last updated
06/03/2011
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