Provider Demographics
NPI:1588639108
Name:GUNNING, KRISTEN H (MD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:H
Last Name:GUNNING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:BULFINCH MEDICAL GROUP, WANG 535
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-724-6610
Mailing Address - Fax:617-724-6632
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:BULFINCH MEDICAL GROUP, WANG 535
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-6610
Practice Address - Fax:617-724-6632
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2015-05-06
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Provider Licenses
StateLicense IDTaxonomies
MA160037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA160037OtherTUFTS
MA3196933Medicaid
MAPV888OtherHARVARD PILGRIM
MAJ21344OtherBLUE CROSS
MAJ21344OtherBLUE CROSS
MAPV888OtherHARVARD PILGRIM