Healthcare Provider Details

I. General information

NPI: 1437285145
Provider Name (Legal Business Name): TOMAS GERALD NEILAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TOMAS GERALD NEILAN MD

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON MA
02114
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2621
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-2700
  • Fax:
Mailing address:
  • Phone: 617-724-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number234637
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number234637
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: