Provider Demographics
NPI:1073061024
Name:ABBASCIA, GINA (RN IBCLC)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:
Last Name:ABBASCIA
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:MS
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:ABBASCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN IBCLC
Mailing Address - Street 1:63 HIGLEY RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1739
Mailing Address - Country:US
Mailing Address - Phone:617-407-3541
Mailing Address - Fax:
Practice Address - Street 1:63 HIGLEY RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1739
Practice Address - Country:US
Practice Address - Phone:617-407-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN158357163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant