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Tamara H Gabrielli

Anesthesiology

Allopathic & Osteopathic Physicians

1901 Research Blvd, 350, Rockville, MD 20850-3164

PECOS Enrollment

This provider is enrolled in PECOS as TAMARA GABRIELLI.

Based on the most recent information from CMS, provider Tamara H Gabrielli is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 1:10 PM.

Profile Details

Provider ID
1326093105
Provider Type
Individual
Full Name
Gabrielli, Tamara H
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2006
Last Updated
3/12/2009

Contact Information

Practice Location

1901 Research Blvd, 350, Rockville, MD 20850-3164

(301) 838-9606

(301) 838-9029

Mailing Location

504 Reserve Champion Dr, Rockville, MD 20850-5717

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License D41308 Maryland

Provider Identifiers

ID	Description	Issuer
ID 601285800	Description Other	Issuer FECA
ID 652071501	Description Medicaid	Issuer Unlisted Maryland

Tamara H Gabrielli

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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