Nielsen, Gunnlaugur Petur
Nielsen, Gunnlaugur Petur is an individual health care provider with primary practice located at 55 Fruit St Wrn 2 Pathology Associates, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Nielsen, Gunnlaugur Petur can be contacted via phone (617) 724-1469.Contact Information
Primary practice address
55 Fruit St Wrn 2 Pathology Associates
Boston MA 02114-2696
Phone: (617) 724-1469
Fax: (617) 726-9312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 78780 | Massachusetts |
Profile Details
| NPI number | 1174592653 |
|---|---|
| LBN Legal business name | Nielsen, Gunnlaugur Petur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1174592653 | NPPES |
| Massachusetts | MEDICAID | 3124584 | |
| Massachusetts | Other | J30551 | |
| Massachusetts | Other | 078780 |
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