Individual
DR. DWIGHT G. GEHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8980
(617) 726-5985
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 724-2894
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35335
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035335
TUFTS HEALTH PLAN
MA
05
—
2036029
—
MA
01
—
B11523
BCBS MA
MA
Enumeration date
11/28/2005
Last updated
07/08/2007
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