Gill, T David

Gill, T David is an individual health care provider with primary practice located at 435 Furnace St , Marshfield MA 02050-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gill, T David can be contacted via phone (781) 837-1108.

Contact Information

Primary practice address
435 Furnace St Marshfield MA 02050-2328
Fax: (781) 837-1109
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33485 Massachusetts

Profile Details

NPI number 1013908417
LBN Legal business name Gill, T David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 30th, 2008 - about 17 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 1013908417 NPPES
Other 0156531 MASSHEALTH
Other 1240260 MASSHEALTH
Other 703473 MASSHEALTH
Other 20073 MASSHEALTH
Other 400027 MASSHEALTH
Other GIM08315 MASSHEALTH
MEDICAID 00156531 MASSHEALTH
Other 355287 MASSHEALTH

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