Provider Demographics
NPI:1134199490
Name:GILMAN, MATTHEW D (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:GILMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 LONGFELLOW PL
Mailing Address - Street 2:UNIT 802
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2838
Mailing Address - Country:US
Mailing Address - Phone:617-724-4254
Mailing Address - Fax:617-724-0046
Practice Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL DEPT OF RADIOLOGY
Practice Address - Street 2:55 FRUIT STREET, FND 202
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-4254
Practice Address - Fax:617-724-4254
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2024-02-05
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Provider Licenses
StateLicense IDTaxonomies
MA2199322085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging