Healthcare Provider Details

I. General information

NPI: 1467985606
Provider Name (Legal Business Name): DAWN GELLAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ADAMS PL SUITE 305
QUINCY MA
02169-7456
US

IV. Provider business mailing address

4 BITTERSWEET CIR
PLYMOUTH MA
02360-1585
US

V. Phone/Fax

Practice location:
  • Phone: 617-302-4194
  • Fax: 617-481-9587
Mailing address:
  • Phone: 508-667-4341
  • Fax: 617-481-9587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN202146
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: