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Individual

DR. GAVIN PETER DUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
55 FRUIT ST DEPT OF, BOSTON, MA 02114-2696
(617) 726-9422
Mailing address
55 FRUIT ST # 502, BOSTON, MA 02114-2621
(617) 726-9422

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2014006096
MO
207T00000X
Neurological Surgery Physician
Primary
249192
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760519193
MO
Enumeration date
02/27/2007
Last updated
12/02/2021
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