Mcgillicuddy, Gerald T.

Mcgillicuddy, Gerald T. is an individual health care provider with primary practice located at 67 Belmont St , Worcester MA 01605-2657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mcgillicuddy, Gerald T. can be contacted via phone (508) 752-4336.

Contact Information

Primary practice address
67 Belmont St Worcester MA 01605-2657
Phone: (508) 752-4336
Fax: (508) 795-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 50103 Massachusetts

Profile Details

NPI number 1932165891
LBN Legal business name Mcgillicuddy, Gerald T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 26th, 2020 - about 6 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 1932165891 NPPES
Massachusetts MEDICAID 110050677A

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