Individual
GALLAUDET HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Mailing address
P.O. BOX 526, LYNN, MA 01903
(781) 596-2502
(781) 596-3966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
107095
IA
363LF0000X
Family Nurse Practitioner
Primary
RN206843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474569
—
IA
Enumeration date
03/28/2006
Last updated
05/25/2017
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