Individual
DR. GERALD STEPHEN FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1223 BEACON STREET, BROOKLINE, MA 02446-5302
(617) 731-6060
(617) 975-1990
Mailing address
1223 BEACON STREET, BROOKLINE, MA 02446
(781) 344-7100
(617) 975-1990
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16001
HPHC
MA
01
—
X04231
BS & MEDICARE
MA
Enumeration date
11/03/2005
Last updated
09/12/2012
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