Boutwell, Gina S.
Boutwell, Gina S. is an individual health care provider with primary practice located at 600 Longwater Dr Fl 2 , Norwell MA 02061-1639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boutwell, Gina S. can be contacted via phone (781) 745-3322.Contact Information
Primary practice address
600 Longwater Dr Fl 2
Norwell MA 02061-1639
Phone: (781) 745-3322
Fax: (781) 561-0610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 154226 | Massachusetts |
Profile Details
| NPI number | 1508856071 |
|---|---|
| LBN Legal business name | Boutwell, Gina S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Dec 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508856071 | NPPES |
| Massachusetts | Other | 042297845 | UNITED HEALTH CARE |
| Massachusetts | Other | 201609 | UNITED HEALTH CARE |
| Massachusetts | Other | 5303578 | UNITED HEALTH CARE |
| Massachusetts | Other | 042297845 | UNITED HEALTH CARE |
| Massachusetts | Other | 6030047 | UNITED HEALTH CARE |
| Massachusetts | Other | 0016419 | UNITED HEALTH CARE |
| Massachusetts | Other | 042297845 | UNITED HEALTH CARE |
| Massachusetts | Other | 042297845 | UNITED HEALTH CARE |
| Massachusetts | MEDICAID | 3168531 | UNITED HEALTH CARE |
| Massachusetts | Other | 34696 | UNITED HEALTH CARE |
| Massachusetts | Other | 154227 | UNITED HEALTH CARE |
| Massachusetts | Other | 042297845 | UNITED HEALTH CARE |
| Massachusetts | Other | 154227 | UNITED HEALTH CARE |
| Massachusetts | Other | 154227 | UNITED HEALTH CARE |
| Massachusetts | Other | J17820 | UNITED HEALTH CARE |
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