Organization
GABISA MEDICAL MA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KEITH JOSEPH MD (MEDICAL DIRECTOR)
(718) 915-1305
Entity
Organization
Contact information
Practice address
BOSTON LOGAN INTERNATIONAL AIRPORT, TERMINAL E (AT DOOR E107), BOSTON, MA 02128
(617) 874-8059
(347) 926-0988
Mailing address
106 W 131ST ST, NEW YORK, NY 10027-2031
(718) 915-1305
(347) 926-0988
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/25/2020
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