Individual
DR. GILAD ITCHAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 775-1712
(617) 632-5847
Mailing address
450 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 632-6139
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
273222
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP5471899-00
HPHC INSURANCE COMPANY
MA
Enumeration date
01/11/2018
Last updated
06/16/2018
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