Provider Demographics
NPI:1346225208
Name:ANCHAN, GIGI L (MD)
Entity Type:Individual
Prefix:
First Name:GIGI
Middle Name:L
Last Name:ANCHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1250 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4339
Mailing Address - Country:US
Mailing Address - Phone:617-774-0660
Mailing Address - Fax:617-774-0666
Practice Address - Street 1:1250 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4339
Practice Address - Country:US
Practice Address - Phone:617-774-0660
Practice Address - Fax:617-774-0666
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223812208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0035380OtherNEIGHBORHOOD HEALTH
MA468138OtherTUFTS HEALTH PLAN
MAAA33137OtherHARVARD PILGRIM
MAJ28662OtherBLUE CROSS
MA2103141Medicaid
MA4587883OtherCIGNA
MAJ28662OtherBLUE CROSS
MA4587883OtherCIGNA