Individual
CAROLYN A GAYLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44999
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016059
NEIGHBORHOOD HEALTH PLAN
—
01
—
0119539
MASS HEALTH
—
01
—
12-40536
UNITED HEALTHCARE(PPO)
—
01
—
1494141
HEALTHSOURCE
MA
01
—
1494141
CIGNA HEALTH CARE
—
01
—
27407
CHILDREN'S MEDICAL SEC.
—
01
—
70067
HARVARD PILGRIM POS
—
01
—
733890
TUFTS
—
01
—
E60222
FIRST SENIORITY
—
01
—
J10294
MEDICARE
—
Enumeration date
06/28/2005
Last updated
07/08/2007
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