Individual
THEODORE GAVRILESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MARSTON ST, SUITE 208, LAWRENCE, MA 01841-2310
(978) 687-2587
(978) 687-8268
Mailing address
491 MAPLE ST, UNIT 101, DANVERS, MA 01923-4023
(978) 762-4888
(978) 762-3922
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
74356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100006
—
MA
Enumeration date
07/19/2005
Last updated
03/17/2016
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