Provider Demographics
NPI:1023039591
Name:GILSON, MICHAEL F (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:GILSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WARREN AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1432
Mailing Address - Country:US
Mailing Address - Phone:401-606-1004
Mailing Address - Fax:401-606-1153
Practice Address - Street 1:950 WARREN AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1432
Practice Address - Country:US
Practice Address - Phone:401-606-1004
Practice Address - Fax:401-606-1153
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD08072207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9003694Medicaid
E88745Medicare UPIN
RI9003694Medicaid