Provider Demographics
NPI:1831619972
Name:MARQUES GURGEL, THAIS (MD)
Entity type:Individual
Prefix:
First Name:THAIS
Middle Name:
Last Name:MARQUES GURGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THAIS
Other - Middle Name:
Other - Last Name:SANTOS MARQUES SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 GEORGETOWN DR APT 6
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6358
Practice Address - Country:US
Practice Address - Phone:508-383-1572
Practice Address - Fax:508-872-4794
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA286156208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist