Healthcare Provider Details

I. General information

NPI: 1316933294
Provider Name (Legal Business Name): DAVID H. GILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VILLAGE INN RD
WESTMINSTER MA
01473-1643
US

IV. Provider business mailing address

242 GREEN ST
GARDNER MA
01440-1336
US

V. Phone/Fax

Practice location:
  • Phone: 978-571-1700
  • Fax:
Mailing address:
  • Phone: 978-630-6377
  • Fax: 978-630-6596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number36878
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: