Provider Demographics
NPI:1609188978
Name:MCGILL, DAYNA (MD)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:MCGILL
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 1:55 FRUIT ST # STREET6C
Mailing Address - Street 2:PEDIATRIC ENDOCRINOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-2909
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST # STREET6C
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL, PEDIATRIC ENDOCRINOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT197567208000000X
PAMD448033208000000X
MA2587722080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology