Individual
DR. GARY R FLEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5022
(617) 730-0469
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55922
MA
208000000X
Pediatrics Physician
55922
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
55922
MA
2080P0208X
Pediatric Infectious Diseases Physician
55922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005980
—
MA
Enumeration date
05/03/2006
Last updated
08/17/2007
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