Healthcare Provider Details

I. General information

NPI: 1124012851
Provider Name (Legal Business Name): STEVEN B GILMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SWANN HILL LN
SANDWICH MA
02563-5302
US

IV. Provider business mailing address

3 SWANN HILL LN
SANDWICH MA
02563-5302
US

V. Phone/Fax

Practice location:
  • Phone: 484-553-5337
  • Fax: 610-284-8312
Mailing address:
  • Phone: 484-553-5337
  • Fax: 774-338-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD031020E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: