Harris, Gerald Stewart

Harris, Gerald Stewart is an individual health care provider with primary practice located at 37 Broadway , Arlington MA 02474-5552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Harris, Gerald Stewart can be contacted via phone (781) 641-0100.

Contact Information

Primary practice address
37 Broadway Arlington MA 02474-5552
Phone: (781) 641-0100
Fax: (781) 744-7132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 29420 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29420 Massachusetts

Profile Details

NPI number 1407956634
LBN Legal business name Harris, Gerald Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 8th, 2010 - about 15 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 1407956634 NPPES
Massachusetts MEDICAID 2005131
Massachusetts MEDICAID 110033516A

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