Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 30712 | MA |
N | 111NI0900X | Internist | 30712 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 30712 | MA |
NPI | 1003912551 |
---|---|
Provider Name | Dr. William H Gaasch |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 24/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110036995A | (05) | MA |
2047934 | (05) | MA |
A65861 | (02) | MA |