Individual
DR. GISELLE REVAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, RADIOLOGY DEPARTMENT, BOSTON, MA 02215-5400
(857) 234-9841
Mailing address
330 BROOKLINE AVE, RADIOLOGY DEPARTMENT, BOSTON, MA 02215-5400
(857) 234-9841
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
251728
MA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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