MEDICARE: THEODORE GAVRILESCU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	74356	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336148618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE GAVRILESCU MD

Provider Business Mailing Address
First Line	:	491 MAPLE ST
Second Line	:	UNIT 101
City	:	DANVERS
State	:	MA
Zip	:	01923-4023
Country	:	US
Telephone Number	:	978-762-4888
Fax Number	:	978-762-3922

Provider Business Practice Location Address
First Line	:	25 MARSTON ST
Second Line	:	SUITE 208
City	:	LAWRENCE
State	:	MA
Zip	:	01841-2310
Country	:	US
Telephone Number	:	978-687-2587
Fax Number	:	978-687-8268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/17/2016

Similar Medicare Providers

1093719924 — DAVID FARZAN MD
Practice Location Address:

25 MARSTON ST , 3RD FL
LAWRENCE, MA
01841-2310

Practice Phone: 978-688-3100
Practice Fax: 978-557-8633

1821092776 — MICHAEL GIORGETTI M.D.
Practice Location Address:

25 MARSTON ST FL 3
LAWRENCE, MA
01841-2310

Practice Phone: 978-688-3100
Practice Fax: 978-688-3133

1891799524 — KAREN INGRID HUNT M.D.
Practice Location Address:

25 MARSTON ST 3RD FL
LAWRENCE, MA
01841-2310

Practice Phone: 978-688-3100
Practice Fax: 978-557-8863

1306844220 — DRASKO SIMOVIC MD
Practice Location Address:

25 MARSTON ST , SUITE 208
LAWRENCE, MA
01841-2310

Practice Phone: 978-687-2587
Practice Fax: 978-687-8268

1326021429 — PEDRO M SANZ-ALTAMIRA M.D.
Practice Location Address:

25 MARSTON ST , SUITE #301
LAWRENCE, MA
01841-2310

Practice Phone: 978-946-8230
Practice Fax: 978-946-8226

1861472987 — VIDAL PRIMITERIO PA
Practice Location Address:

25 MARSTON ST , SUITE 105
LAWRENCE, MA
01841-2310

Practice Phone: 978-258-1057
Practice Fax: 978-258-1520

Directions to “ THEODORE GAVRILESCU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.