Provider Demographics
NPI:1285964346
Name:PALLADINO, GAIL ANN (NP)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:ANN
Last Name:PALLADINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:77 HERRICK ST
Mailing Address - Street 2:SUITE 201 COASTAL ORTHOPEDIC ASSOCIATES
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-927-3040
Mailing Address - Fax:978-927-0443
Practice Address - Street 1:77 HERRICK ST
Practice Address - Street 2:SUITE 201 COASTAL ORTHOPEDIC ASSOCIATES
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-927-3040
Practice Address - Fax:978-927-0443
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA133685207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9702652Medicaid
MAM11709Medicare UPIN