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Individual

MICHELLE Z GURVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL / CARDIOLOGY, BOSTON, MA 02115-5724
(617) 355-6508
(617) 739-8632
Mailing address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL / CARDIOLOGY, BOSTON, MA 02115-5724
(617) 355-6508
(617) 739-8632

Taxonomy

Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
245758
MA
207RC0000X
Cardiovascular Disease Physician
A61361
CA
208000000X
Pediatrics Physician
MD00045538
WA
2080P0202X
Pediatric Cardiology Physician
245758
MA
2080P0202X
Pediatric Cardiology Physician
MD00045538
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A613610
MEDICAL PPIN #
CA
05
8436511
WA
Enumeration date
07/18/2006
Last updated
10/02/2018
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