Gillette, Michael Andrew

Gillette, Michael Andrew is an individual health care provider with primary practice located at 55 Fruit St Pulmonary And Critical Care Grb 645, Boston MA 02114-2696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gillette, Michael Andrew can be contacted via phone (617) 726-1721.

Contact Information

Primary practice address
55 Fruit St Pulmonary And Critical Care Grb 645 Boston MA 02114-2696
Phone: (617) 726-1721
Fax: (617) 724-9948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 154750 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 154750 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 154750 Massachusetts

Profile Details

NPI number 1619945276
LBN Legal business name Gillette, Michael Andrew
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 16th, 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 1619945276 NPPES
Massachusetts MEDICAID 2002710
Massachusetts Other J25869
Massachusetts Other 401842

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