Diercks, Gillian Ruth

Diercks, Gillian Ruth is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. Diercks, Gillian Ruth can be contacted via phone (617) 573-3190.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-3190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 266714 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 266714 Massachusetts

Profile Details

NPI number 1255573515
LBN Legal business name Diercks, Gillian Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Nov 8th, 2023 - about last year

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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