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Individual

DR. ELLEN GILMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
ONE WASHINGTON STREET, SUITE 101, WELLESLEY, MA 02481
(617) 332-1471
(617) 332-2735
Mailing address
ONE WASHINGTON STREET, SUITE 101, WELLESLEY, MA 02481
(617) 332-1471
(617) 332-2735

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2679
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334995
MA
Enumeration date
11/14/2006
Last updated
02/18/2009
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