Individual
DR. PHILLIP M GENDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 CAMBRIDGE ST, BURLINGTON, MA 01803-2921
(617) 202-2020
(617) 734-3264
Mailing address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(617) 202-2020
(617) 202-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
46245
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6164552
—
MA
01
—
CE5062
RAILROAD MEDICARE
—
Enumeration date
06/23/2005
Last updated
07/10/2025
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