Individual
DR. G GREGORY GALLICO III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 COMMONWEALTH AVE, BOSTON, MA 02116
(617) 267-5553
(617) 267-5507
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37975
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
37975
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141143
—
MA
01
—
708233
TUFTS HEALTH PLAN
MA
01
—
E05512
BCBS MA
MA
Enumeration date
04/18/2006
Last updated
09/11/2025
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