Otoole, Gail A

Otoole, Gail A is an individual health care provider with primary practice located at 90 Libbey Pkwy Ste 200, Weymouth MA 02189-3129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Otoole, Gail A can be contacted via phone (781) 335-9700.

Contact Information

Primary practice address
90 Libbey Pkwy Ste 200 Weymouth MA 02189-3129
Fax: (781) 335-9709
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 148056 Massachusetts

Profile Details

NPI number 1588645220
LBN Legal business name Otoole, Gail A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 14th, 2007 - about 18 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 1588645220 NPPES
Massachusetts Other NP1431 BCBS
Massachusetts MEDICAID 0340880 BCBS

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