Antoine, Gregory A

Antoine, Gregory A is an individual health care provider with primary practice located at 720 Harrison Ave Suite 9400, Boston MA 02118-2371. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Antoine, Gregory A can be contacted via phone (617) 638-8419.

Contact Information

Primary practice address
720 Harrison Ave Suite 9400 Boston MA 02118-2371
Phone: (617) 638-8419
Fax: (617) 638-8412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 209930 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 209930 Massachusetts

Profile Details

NPI number 1497721682
LBN Legal business name Antoine, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 5th, 2013 - about 11 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 1497721682 NPPES
Massachusetts MEDICAID 110004320A

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