Provider Demographics
NPI:1740570787
Name:GUR, HATICE DENIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:HATICE
Middle Name:DENIZ
Last Name:GUR
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 1:108 PETERBOROUGH ST
Mailing Address - Street 2:4H
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4785
Mailing Address - Country:US
Mailing Address - Phone:802-338-5278
Mailing Address - Fax:
Practice Address - Street 1:108 PETERBOROUGH ST
Practice Address - Street 2:4H
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-4785
Practice Address - Country:US
Practice Address - Phone:802-338-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ62993-92358207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology