Individual
LISA MARIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 STANIFORD STREET, C/O MA ANESTHESIA CORP., BOSTON, MA 02115
(781) 341-3966
(781) 341-8269
Mailing address
PO BOX 372, MASSACHUSETTS ANESTHESIA CORP., STOUGHTON, MA 02072
(617) 323-1836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
76478
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050085831
RAILROAD MEDICARE
—
01
—
275097
HARVARD PILGRIM HEALTH
MA
05
—
3104184
—
MA
01
—
729284
TUFTS ASSOC HEALTH PLANS
MA
01
—
97998308
NETWORK HEALTH
MA
01
—
J13105
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
09/03/2006
Last updated
10/05/2011
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