Harris, Gerald Stewart
Harris, Gerald Stewart is an individual health care provider with primary practice located at 37 Broadway , Arlington MA 02474-5552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Harris, Gerald Stewart can be contacted via phone (781) 641-0100.Contact Information
Primary practice address
37 Broadway
Arlington MA 02474-5552
Phone: (781) 641-0100
Fax: (781) 744-7132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 29420 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29420 | Massachusetts |
Profile Details
| NPI number | 1407956634 |
|---|---|
| LBN Legal business name | Harris, Gerald Stewart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407956634 | NPPES |
| Massachusetts | MEDICAID | 2005131 | |
| Massachusetts | MEDICAID | 110033516A |
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