Provider Demographics
NPI:1386444743
Name:ABUNO, GAEL
Entity type:Individual
Prefix:
First Name:GAEL
Middle Name:
Last Name:ABUNO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 JOYCETON TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1477
Mailing Address - Country:US
Mailing Address - Phone:443-653-7775
Mailing Address - Fax:
Practice Address - Street 1:93 JOYCETON TER
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1477
Practice Address - Country:US
Practice Address - Phone:443-653-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator