Healthcare Provider Details

I. General information

NPI: 1821194879
Provider Name (Legal Business Name): DANIEL P. GAPOSCHKIN M.D/PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HASTINGS ST STE 200
WELLESLEY MA
02481-5439
US

IV. Provider business mailing address

70 HASTINGS ST STE 200
WELLESLEY MA
02481-5439
US

V. Phone/Fax

Practice location:
  • Phone: 781-772-8400
  • Fax: 781-772-5600
Mailing address:
  • Phone: 781-772-8400
  • Fax: 781-772-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number222235
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: