Gendelman, Phillip M
Gendelman, Phillip M is an individual health care provider with primary practice located at 172 Cambridge Street , Burlington MA 01803-2921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gendelman, Phillip M can be contacted via phone (617) 202-2020.Contact Information
Primary practice address
172 Cambridge Street
Burlington MA 01803-2921
Phone: (617) 202-2020
Fax: (617) 734-3264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 46245 | Massachusetts |
Profile Details
| NPI number | 1427054576 |
|---|---|
| LBN Legal business name | Gendelman, Phillip M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1427054576 | NPPES |
| Other | CE5062 | RAILROAD MEDICARE | |
| MEDICAID | 6164552 | RAILROAD MEDICARE |
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