Gholston, Milton Robert Avery

Gholston, Milton Robert Avery is an individual health care provider with primary practice located at 300 Ocean Ave , Revere MA 02151-3675. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gholston, Milton Robert Avery can be contacted via phone (781) 485-6000.

Contact Information

Primary practice address
300 Ocean Ave Revere MA 02151-3675
Phone: (781) 485-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 291720 Massachusetts

Profile Details

NPI number 1518523828
LBN Legal business name Gholston, Milton Robert Avery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Jul 20th, 2022 - about 4 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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