Individual
MR. GARY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDRENS HOSPITAL DIVISION OF PLASTIC SURGERY, BOSTON, MA 02115-5724
(617) 355-8509
(617) 738-1657
Mailing address
300 LONGWOOD AVE, HU-158, BOSTON, MA 02115-5724
(617) 355-7384
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
160060
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134024
—
MA
Enumeration date
06/05/2006
Last updated
05/13/2008
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