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Individual

ANDREW J GILLIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
980 WASHINGTON ST, SUITE 120, DEDHAM, MA 02026-6731
(781) 251-2222
(781) 234-0279
Mailing address
980 WASHINGTON ST, SUITE 120, DEDHAM, MA 02026-6731
(781) 251-2222
(781) 234-0279

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55237
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000600
NEIGHBORHOOD HEALTH PLAN
01
055237
TUFTS
01
08-00480
UNITED HEALTHCARE(HMO&PPO
01
15986
HARVARD PILGRIM POS PPO
01
180009329
RAILROAD MEDICARE
01
27410
CHILDREN'S MEDICAL SECURI
01
3031535
MASS HEALTH (DIV MED SVCS
01
7538944
HEALTHSOURSCE MASSACHUSET
01
B77257
FIRST SENIORITY
01
J07034
BS-BLUE CARE 65
Enumeration date
06/30/2005
Last updated
11/15/2011
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