Provider Demographics
NPI:1083721120
Name:GULLA, CHRISTINE C (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:C
Last Name:GULLA
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 1:20 PONDMEADOW DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3218
Mailing Address - Country:US
Mailing Address - Phone:781-944-0040
Mailing Address - Fax:
Practice Address - Street 1:20 PONDMEADOW DR
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3218
Practice Address - Country:US
Practice Address - Phone:781-944-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81762207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease