Healthcare Provider Details

I. General information

NPI: 1609188978
Provider Name (Legal Business Name): DAYNA MCGILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST # STREET6C MASSACHUSETTS GENERAL HOSPITAL, PEDIATRIC ENDOCRINOLOGY
BOSTON MA
02114-2621
US

IV. Provider business mailing address

55 FRUIT ST # STREET6C PEDIATRIC ENDOCRINOLOGY
BOSTON MA
02114-2621
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2909
  • Fax:
Mailing address:
  • Phone: 617-726-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT197567
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD448033
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number258772
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: