Individual
DR. GRETCHEN ANN GIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVENUE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232079
MA
207RH0003X
Hematology & Oncology Physician
232079
MA
207RX0202X
Medical Oncology Physician
Primary
232079
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077244A
—
MA
Enumeration date
07/25/2007
Last updated
06/05/2014
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