Individual
MR. GABRIEL J TASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154302586
—
MA
Enumeration date
06/14/2011
Last updated
02/04/2022
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