Provider Demographics
NPI:1033291430
Name:GUZELIAN, GAIL ANAHID (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ANAHID
Last Name:GUZELIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 BOYLSTON STREET
Mailing Address - Street 2:SUITE 575 BRIGHAM OBSTETRICS AND GYNECOLOGY GROUP
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467
Mailing Address - Country:US
Mailing Address - Phone:617-732-9100
Mailing Address - Fax:
Practice Address - Street 1:850 BOYLSTON STREET
Practice Address - Street 2:SUITE 575 BRIGHAM OBSTETRICS AND GYNECOLOGY GROUP
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-732-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80449207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology