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Individual

GERALD G TANGUILIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23 WHITES PATH, SOUTH YARMOUTH, MA 02664-1221
(508) 398-6131
(508) 398-7440
Mailing address
97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189-3110
(781) 331-3300
(781) 337-8356

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
160753
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3198502
MA
Enumeration date
10/20/2005
Last updated
12/23/2021
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