Gavrilescu, Theodore
Gavrilescu, Theodore is an individual health care provider with primary practice located at 25 Marston St Suite 208, Lawrence MA 01841-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gavrilescu, Theodore can be contacted via phone (978) 687-2587.Contact Information
Primary practice address
25 Marston St Suite 208
Lawrence MA 01841-2310
Phone: (978) 687-2587
Fax: (978) 687-8268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 74356 | Massachusetts |
Profile Details
NPI number | 1336148618 |
---|---|
LBN Legal business name | Gavrilescu, Theodore |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Mar 17th, 2016 - about 9 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 | 1336148618 | NPPES |
Massachusetts | MEDICAID | 3100006 |
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