Individual
DR. ELIZABETH ALEXANDRA GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 654-7280
(617) 654-7363
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 654-7280
(617) 654-7363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
239610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083807A
—
MA
Enumeration date
10/13/2006
Last updated
12/20/2023
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