Gillman, Matthew

Gillman, Matthew is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gillman, Matthew can be contacted via phone (617) 355-6793.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54222 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54222 Massachusetts

Profile Details

NPI number 1912978461
LBN Legal business name Gillman, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 18th, 2010 - about 16 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 1912978461 NPPES
Massachusetts Other 000000033748 BMC HEALTHNET
Massachusetts MEDICAID 3001385 BMC HEALTHNET
Massachusetts Other J04943 BMC HEALTHNET
Massachusetts Other J04943 BMC HEALTHNET
Massachusetts Other J04943 BMC HEALTHNET

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