Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 260363 | MA |
N | 207RG0100X | Gastroenterologist | A105670 | CA |
NPI | 1033399357 |
---|---|
Provider Name | Dr. Manish Kantilal Gala |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 01/08/2014 |