Gillman, Matthew
Gillman, Matthew is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gillman, Matthew can be contacted via phone (617) 355-6793.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54222 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54222 | Massachusetts |
Profile Details
NPI number | 1912978461 |
---|---|
LBN Legal business name | Gillman, Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Jan 18th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912978461 | NPPES |
Massachusetts | Other | 000000033748 | BMC HEALTHNET |
Massachusetts | MEDICAID | 3001385 | BMC HEALTHNET |
Massachusetts | Other | J04943 | BMC HEALTHNET |
Massachusetts | Other | J04943 | BMC HEALTHNET |
Massachusetts | Other | J04943 | BMC HEALTHNET |
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