Provider Demographics
NPI:1881697050
Name:GABBAY, SOLOMON A (MD)
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:A
Last Name:GABBAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 HOPE AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2717
Mailing Address - Country:US
Mailing Address - Phone:781-894-2498
Mailing Address - Fax:781-899-5335
Practice Address - Street 1:20 HOPE AVE
Practice Address - Street 2:STE 206
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2717
Practice Address - Country:US
Practice Address - Phone:781-894-2498
Practice Address - Fax:781-899-5335
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2010-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA37013207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2043203Medicaid
MA0464529OtherUS HEALTHCARE
MA701111OtherTUFTS HEALTH PLAN
MAB10208601OtherCIGNA
MA2500360OtherUNITED HEALTHCARE
MA44211004OtherRAILROAD MEDICARE
MAGAB47159OtherMASS. BLUE CROSS
MA3095OtherHARVARD PILGRIM HEALTH CA
MA0464529OtherUS HEALTHCARE
MA701111OtherTUFTS HEALTH PLAN