Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 15749 | MA |
NPI | 1083686703 |
---|---|
Provider Name | Dr. Gabriel C Tagher |
First Address | Hyannis, MA 02601-1811 |
Second Address | Hyannis, MA 02601-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 06/03/2015 |