Provider Demographics
NPI:1245463512
Name:GILBERT, ELEANOR R (MD)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:R
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24 BLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3202
Mailing Address - Country:US
Mailing Address - Phone:888-249-4575
Mailing Address - Fax:888-236-3311
Practice Address - Street 1:24 BLAKE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3202
Practice Address - Country:US
Practice Address - Phone:888-249-4575
Practice Address - Fax:888-236-3311
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA77106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine