Gary R Keilson in Worcester - Neurology

Gary R Keilson - NPI 1508857707

Gary R Keilson is a Neurology in Worcester, Massachusetts. Gary R Keilson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Gary R Keilson is 1508857707. The last update date is 2011-05-02.

Gary R Keilson's current location address is 630 Plantation St, Worcester, Massachusetts. You can contact this provider via phone number 5083683150 and fax number 5083683152. The mailing address for Gary R Keilson is 630 Plantation St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary R Keilson
Address 630 Plantation St, Worcester, Massachusetts
Phone Number 5083683150
Fax Number 5083683152
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508857707
Provider Enumeration Date 2005-11-04
Last Updated Date 2011-05-02

Provider Mailing Address Detail

Address 630 Plantation St
City Worcester
State Massachusetts (MA)
Post Code 16052038
Phone Number 5083683150
Fax Number 5083683152

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 74084
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42472266 ONE HEALTH PLAN
5845001 AETNA US HEALTHCARE
AA3016 HARVARD PILGRIM HEALTHCAR
29203 CHILDRENS MEDICAL SECURIT
J14372 BLUE CARE ELECT
42472266 HEALTHCARE VALUE MANAGEME
9900842 FALLON COMMUNITY HEALTH P
J14372 BLUE SHIELD HMO BLUE
J14372 BLUE INDEMNITY
130015211 RAILROAD MEDICARE

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FAQs about Gary R Keilson

What is the unique provider identifier assigned to Gary R Keilson?

The Gary R Keilson has been issued the NPI (National Provider Identifier) 1508857707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Gary R Keilson's facilities are situated?

The facilities of Gary R Keilson are physically located at the following address: 630 Plantation St, Worcester, MA, 16052038.

What is the Gary R Keilson's area of specialization and corresponding taxonomy classification?

The Gary R Keilson's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1508857707 to Gary R Keilson?

The Gary R Keilson received its 1508857707 assignment from the Centers for Medicare & Medicaid Services on 2005-11-04.

As of what date were the details related to Gary R Keilson most recently updated or revised?

The information pertaining to Gary R Keilson, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-02.

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