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Individual

DR. HENNING A GAISSERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, BLK 1570, BOSTON, MA 02114-2621
(617) 726-5341
(617) 726-7667
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-5341
(617) 726-7667

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
60405
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3085708
MA
01
724283
TUFTS HEALTH PLAN
MA
01
J12053
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
05/28/2014
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