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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427054576 NPPES
Other CE5062 RAILROAD MEDICARE
MEDICAID 6164552 RAILROAD MEDICARE

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