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NPI Code Detail

MEDICARE: DR. GARY STEVEN PRANSKY M.D

MEDICARE:  DR. GARY STEVEN PRANSKY  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician45703MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124102637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY STEVEN PRANSKY M.D
Provider Business Mailing Address
First Line : 52 CREST AVE
Second Line : SUITE 1
City : WINTHROP
State : MA
Zip : 02152-1064
Country : US
Telephone Number : 617-846-8622
Fax Number : 617-846-8498
Provider Business Practice Location Address
First Line : 52 CREST AVE
Second Line : SUITE 1
City : WINTHROP
State : MA
Zip : 02152-1064
Country : US
Telephone Number : 617-846-8622
Fax Number : 617-846-8498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 04/03/2013

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