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Individual

GERALD F ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT STREET FND 202, MGH RADIOLOGY ASSOCIATES, BOSTON, MA 02114
(617) 724-4254
Mailing address
PO BOX 9142, MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02114-9142
(617) 724-4254
(617) 724-0046

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39014
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NHPRI
01
003116432
CT MED ASSISTANCE
01
004384
BLUE CHIP
01
007000607
HOSPITAL PIN
01
007600
BCBS
01
1600203
UNITED HEALTH PLANS
01
240003
RIH PILGRIM
01
240165
W AND I PILGRIM
01
300067431
RR MEDICARE
01
3108449
HEALTHY START
05
3108449
MA
01
720052401
CIGNA
01
7600
FEP BLUE CROSS
Enumeration date
10/13/2005
Last updated
08/21/2012
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