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Individual

DR. GAMAL H ELTABBAKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1060 HINESBURG RD, SUITE 301, SOUTH BURLINGTON, VT 05403-7612
(802) 859-9500
(802) 859-9944
Mailing address
1060 HINESBURG RD, SUITE 301, SOUTH BURLINGTON, VT 05403-7612
(802) 859-9500
(802) 859-9944

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
0420009610
VT
207VG0400X
Gynecology Physician
1994931
NY
207VX0201X
Gynecologic Oncology Physician
Primary
0420009610
VT
207VX0201X
Gynecologic Oncology Physician
1994931
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01760585
NY
05
OVN1692
VT
Enumeration date
09/22/2005
Last updated
05/23/2013
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