Organization
MARIE GIPSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIH YEE-MARIE TAN GIPSON MD (OWNER)
(617) 326-5102
Entity
Organization
Contact information
Practice address
18 GROVE ST # 6, WELLESLEY, MA 02482-7705
(617) 326-5102
(617) 858-8238
Mailing address
18 GROVE ST # 6, WELLESLEY, MA 02482-7705
(617) 326-5102
(617) 858-8238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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