Fine, Gerald Stephen

Fine, Gerald Stephen is an sole proprietor health care provider with primary practice located at 1223 Beacon Street , Brookline MA 02446-5302. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fine, Gerald Stephen can be contacted via phone (617) 731-6060.

Contact Information

Primary practice address
1223 Beacon Street Brookline MA 02446-5302
Phone: (617) 731-6060
Fax: (617) 975-1990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12631 Massachusetts

Profile Details

NPI number 1881685238
LBN Legal business name Fine, Gerald Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Sep 12th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881685238 NPPES
Massachusetts Other 16001 HPHC
Massachusetts Other X04231 HPHC

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