Individual
GREGORY MICHAEL GHEEWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 MASSACHUSETTS AVE, BOSTON MEDICAL CENTER, 6TH FLOOR, BOSTON, MA 02119
(617) 414-5951
Mailing address
801 MASSACHUSETTS AVE, BOSTON MEDICAL CENTER, CROSSTOWN PRIMARY CARE, 6TH FLOOR, BOSTON, MA 02119
(617) 414-5951
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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