Gallico, G Gregory

Gallico, G Gregory is an individual health care provider with primary practice located at 170 Commonwealth Ave , Boston MA 02116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gallico, G Gregory can be contacted via phone (617) 267-5553.

Contact Information

Primary practice address
170 Commonwealth Ave Boston MA 02116
Phone: (617) 267-5553
Fax: (617) 267-5507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37975 Massachusetts
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 37975 Massachusetts

Profile Details

NPI number 1376508150
LBN Legal business name Gallico, G Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376508150 NPPES
Massachusetts Other E05512 BCBS MA
Massachusetts Other 708233 BCBS MA
Massachusetts MEDICAID 0141143 BCBS MA

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