Individual
EVA GOUGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
26 BAKER AVE, BEVERLY, MA 01915-3554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6531
MA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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