Fotabong, Gallus Lereh

Fotabong, Gallus Lereh is an individual health care provider with primary practice located at 41 Harvest St , Lynn MA 01902-1122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Fotabong, Gallus Lereh can be contacted via phone (781) 244-8473.

Contact Information

Primary practice address
41 Harvest St Lynn MA 01902-1122
Phone: (781) 244-8473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG11210066 Massachusetts

Profile Details

NPI number 1821755513
LBN Legal business name Fotabong, Gallus Lereh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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