Individual
DR. GINA S. BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 LONGWATER DR FL 2, NORWELL, MA 02061-1639
(781) 745-3322
(781) 561-0610
Mailing address
600 LONGWATER DR FL 2, NORWELL, MA 02061-1639
(781) 745-3322
(781) 561-0610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154226
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016419
NEIGHBORHOOD HLTH PLAN
MA
01
—
042297845
UNITED HEALTH CARE
MA
01
—
154227
TUFTS MEDICARE PREFERRED
MA
01
—
154227
TUFTS - HMO
—
01
—
201609
HVD PILGRIM HEALTH CARE
MA
05
—
3168531
—
MA
01
—
34696
FALLON
MA
01
—
5303578
AETNA
MA
01
—
6030047
CIGNA
MA
01
—
J17820
BCBS
MA
Enumeration date
10/26/2005
Last updated
12/05/2023
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