Individual
GABRIELLA MARIE WOESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110195014A
—
MA
Enumeration date
04/02/2019
Last updated
11/17/2023
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