Organization
GIGI N. GIRGIS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIGI N GIRGIS M.D. (OWNER)
(781) 647-3550
Entity
Organization
Contact information
Practice address
20 HOPE AVE, SUITE 203, WALTHAM, MA 02453-2721
(781) 647-3550
(781) 899-8845
Mailing address
20 HOPE AVE, SUITE 203, WALTHAM, MA 02453-2721
(781) 647-3550
(781) 899-8845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000494
—
MA
01
—
J04851
MEDICARE ID-TYPE UNSPECIFIED
MA
Enumeration date
02/25/2013
Last updated
01/09/2014
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