| Doctor Name: | DR. MATTHEW DAVID GILMAN |
| NPI Number: | 1134199490 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 219932 |
| Business Practice Address: | Massachusetts General Hospital Dept Of Radiology 55 Fruit Street, Fnd 202 Boston, MA - 02114 |
| Business Phone Number: | 6177244254 |
| Business Fax Number: | 6177244254 |
| Mailing Address: | 4 Longfellow Pl, Unit 802 BOSTON |
| State: | MA |
| Postal Code: | 021142838 |
| Phone Number: | 6177244254 |
| Fax Number: | 6177240046 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 219932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |