Gaissert, Henning A

Gaissert, Henning A is an individual health care provider with primary practice located at 55 Fruit St Blk 1570, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gaissert, Henning A can be contacted via phone (617) 726-5341.

Contact Information

Primary practice address
55 Fruit St Blk 1570 Boston MA 02114-2621
Phone: (617) 726-5341
Fax: (617) 726-7667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 60405 Massachusetts

Profile Details

NPI number 1437149028
LBN Legal business name Gaissert, Henning A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 28th, 2014 - about 12 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 1437149028 NPPES
Massachusetts Other J12053 BCBS MA
Massachusetts Other 724283 BCBS MA
Massachusetts MEDICAID 3085708 BCBS MA

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