Individual
DR. GREGORY D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 740 BIGELOW TEACHING SERVICE INPATIENT & CARDIOLOG, BOSTON, MA 02114-2696
(617) 724-7436
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-9554
(617) 726-4105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210023
MA
207RC0000X
Cardiovascular Disease Physician
Primary
210023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033861
—
MA
01
—
469100
TUFTS HEALTH PLAN
MA
01
—
J27132
BCBS MA
MA
Enumeration date
12/05/2005
Last updated
11/28/2012
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