Provider Demographics
NPI:1689663882
Name:ASHER, GARY H (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:H
Last Name:ASHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:77 WARREN ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3601
Mailing Address - Country:US
Mailing Address - Phone:617-562-5612
Mailing Address - Fax:617-562-5415
Practice Address - Street 1:697 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1323
Practice Address - Country:US
Practice Address - Phone:978-582-4587
Practice Address - Fax:978-582-4593
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2012-07-05
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Provider Licenses
StateLicense IDTaxonomies
MA39323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASX1739OtherPTAN 41
MA2042355Medicaid
MASX1726OtherPTAN
MASX1739OtherPTAN 41
MASX1726OtherPTAN