Provider Demographics
NPI:1518958131
Name:GELEV, CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:GELEV
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:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:781-487-4350
Mailing Address - Fax:781-487-4351
Practice Address - Street 1:40 SECOND AVE
Practice Address - Street 2:SUITE 400 MASS GENERAL MEDICAL GROUP
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1132
Practice Address - Country:US
Practice Address - Phone:781-487-4350
Practice Address - Fax:781-487-4351
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72739207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ09944OtherBCBS MA
MA718632OtherTUFTS HEALTH PLAN
MA3074579Medicaid
MAJ09944Medicare PIN
MAJ09944OtherBCBS MA