Healthcare Provider Details

I. General information

NPI: 1679869135
Provider Name (Legal Business Name): REBECCA L. GILLANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CEDAR ST STE 110
WELLESLEY MA
02481-3527
US

IV. Provider business mailing address

110 CEDAR ST STE 110
WELLESLEY MA
02481-3527
US

V. Phone/Fax

Practice location:
  • Phone: 781-591-8300
  • Fax:
Mailing address:
  • Phone: 781-591-8300
  • Fax: 781-591-8320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number261841
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: