Active NPIIndividual provider

Kathleen H Gallivan, MD, MPH, FACS

Otolaryngology in Woburn, Massachusetts

NPI Number1427056225
Practice location
100 Tradecenter, Suite 750, Woburn, MA 01801-1851
Fax
781-305-2779
Last updated
February 25, 2014

Kathleen Holly Gallivan is an Otolaryngology based in Woburn, MA. Kathleen Holly Gallivan practices in Woburn, MA and has the professional credentials of MD, MPH, FACS. The NPI Number for Kathleen Holly Gallivan is 1427056225 and holds a License No. 204711 (MA). The current practice location address for Kathleen Holly Gallivan is 100 Tradecenter, Suite 750, Woburn, MA 01801-1851 and can be reached out via phone at 781-937-3001 and via fax at 781-305-2779.

Provider Profile Details

NPI Number
1427056225
Provider Name
Kathleen Holly Gallivan
Credential
MD, MPH, FACS
Provider Entity Type
Individual
Gender
Female
Address
100 Tradecenter, Suite 750, Woburn, MA 01801-1851
Phone Number
781-937-3001
Fax Number
781-305-2779
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Other Names
-- Kathleen Holly Dorr, MD, MPH, FACS (Other Name)
Provider Enumeration Date
July 14, 2005
Last Update Date
February 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Tradecenter
Suite 750
Woburn, MA 01801-1851
City
Woburn
Zip
01801-1851
Phone Number
781-937-3001
Fax Number
781-305-2779
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
100 Tradecenter
Suite 750
Woburn, MA 01801-1851
City
Woburn
State
MA
Zip
01801-1851
Phone Number
781-937-3001
Fax Number
781-305-2779

License Information

License Number
204711
License State
MA
Taxonomy
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen H Gallivan, MD, MPH, FACS?

The NPI number of Kathleen H Gallivan, MD, MPH, FACS is 1427056225. It was assigned on July 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Kathleen H Gallivan, MD, MPH, FACS?

Kathleen H Gallivan, MD, MPH, FACS is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MA under license number 204711.

Where does Kathleen H Gallivan, MD, MPH, FACS practice?

The practice location is 100 Tradecenter, Suite 750, Woburn, MA 01801-1851. The office can be reached at 781-937-3001 (phone) or 781-305-2779 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427056225 directly on the NPPES registry website.

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