Individual
DR. GILSON MAURO COSTA FERNANDES FILHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE STE 3500, BOSTON, MA 02118-2905
(617) 638-8776
(617) 414-8772
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-4100
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1014564
MA
207RC0000X
Cardiovascular Disease Physician
1014564
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
1014564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110199208A
—
MA
Enumeration date
06/14/2015
Last updated
01/10/2025
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