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Individual

DR. JATINDER S GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 PARKMAN ST, WAC 324, BOSTON, MA 02114-3117
(617) 726-3332
(617) 726-3441
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
207L00000X
Anesthesiology Physician
203361
MA
208VP0000X
Pain Medicine Physician
Primary
203361
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133892
MA
01
203361
TUFTS HEALTH PLAN
MA
01
J23395
BCBS MA
MA
Enumeration date
12/07/2005
Last updated
11/01/2011
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