Individual
DR. MARY GULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
188 WORCESTER PROVIDENCE TURNPIKE, SUTTON, MA 01590-3157
(508) 865-3650
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3131394
—
MA
Enumeration date
04/06/2006
Last updated
11/24/2020
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