Gillieson, Martin S

Gillieson, Martin S is an individual health care provider with primary practice located at 736 Cambridge St 7Th Flr St Margarets Hall, Brighton MA 02135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gillieson, Martin S can be contacted via phone (617) 562-7026.

Contact Information

Primary practice address
736 Cambridge St 7Th Flr St Margarets Hall Brighton MA 02135
Phone: (617) 562-7026
Fax: (617) 789-3226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 57373 Massachusetts

Profile Details

NPI number 1669446696
LBN Legal business name Gillieson, Martin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1669446696 NPPES
Massachusetts MEDICAID 3016145

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