Doctor Name: | THOMAS G GELSINON |
NPI Number: | 1134128218 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 12174 |
Business Practice Address: | 126 Union St Marlborough, MA - 017521207 |
Business Phone Number: | 5084853245 |
Business Fax Number: | 5084855957 |
Mailing Address: | 126 Union St, MARLBOROUGH |
State: | MA |
Postal Code: | 017521207 |
Phone Number: | 5084853245 |
Fax Number: | 5084855957 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 12174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |