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
Fax: (978) 687-8268
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336148618 NPPES
Massachusetts MEDICAID 3100006

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