| Doctor Name: | GEOFFREY WHITLEY |
| NPI Number: | 1083994404 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | RN2267850 |
| Business Practice Address: | 1 Harborside Dr East Boston, MA - 021282907 |
| Business Phone Number: | 6175686500 |
| Business Fax Number: | |
| Mailing Address: | 90 New State Hwy, RAYNHAM |
| State: | MA |
| Postal Code: | 027675460 |
| Phone Number: | 5088806868 |
| Fax Number: | 5088806848 |
| NPI Enumeration Date: | 08/17/2011 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN2267850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |