Individual provider · Type 1 NPI

Bassel Ahmed Kotb Gaballah

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1801712088 Active

Practice location

235 North Pearl Street
Brockton, MA 02301

Call (508) 427-3190 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

Other student in an organized health care education/training program providers in Brockton

See all in Brockton →

About NPI 1801712088

Bassel Ahmed Kotb Gaballah's National Provider Identifier is 1801712088, issued on Jun 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Jun 24, 2026.