Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD08072 | RI |
NPI | 1023039591 |
---|---|
Provider Name | Mr. Michael F Gilson |
First Address | East Providence, RI 02914-1432 |
Second Address | East Providence, RI 02914-1432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 05/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9003694 | (05) | RI |
E88745 | (02) |