Individual
DR. GALE S HAYDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 645, BOSTON, MA 02114-3117
(617) 726-2368
(617) 726-6861
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055052
TUFTS HEALTH PLAN
MA
05
—
3011895
—
MA
01
—
J05380
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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