Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1394 | MA |
N | 111NR0200X | Radiology | 1394 | MA |
N | 213ER0200X | Radiology | 1394 | MA |
N | 213ES0131X | Foot Surgery | 1394 | MA |
NPI | 1265475339 |
---|---|
Provider Name | Dr. Joseph Barry Gimbel |
First Address | Arlington, MA 02476-4784 |
Second Address | Arlington, MA 02476-4784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 31/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0035708 | NEIGHBORHOOD - INDIVIDUAL (01) | MA |
0334863 | (05) | MA |
0485872 | CIGNA (01) | MA |
1196765 | AETNA (01) | MA |
33700 | HPHC 1ST SENIORITY - IND. (01) | MA |
706345 | TUFTS - INDIVIDUAL (01) | MA |
FALLON | 39212 (01) | MA |
T58651 | (02) | MA |
Y70536 | BCBS - INDIVIDUAL (01) | MA |