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Dr. Stephen Andrew Gannon, MD
Cardiovascular Disease Physician in Cambridge, Massachusetts
NPI 1881960037

Stephen Andrew Gannon is a Cardiovascular Disease Physician based in Cambridge, MA and is specialized in Cardiovascular Disease. Stephen Andrew Gannon practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Stephen Andrew Gannon is 1881960037 and holds a License No. MD15347 (Massachusetts).

The current practice location address for Stephen Andrew Gannon is 300 Mount Auburn St Ste 310, Cambridge, MA and can be reached out via phone at 617-497-1560 and via fax at 617-497-1190.

Location: 300 Mount Auburn St Ste 310, Cambridge, MA, 02138-5665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881960037
Provider Name
Stephen Andrew Gannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Mount Auburn St Ste 310, Cambridge, MA, 02138-5665
Phone Number
617-497-1560
Fax Number
617-497-1190
Provider Enumeration Date
03/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110146553A 05 MA
institution
Provider Business Practice Location Address Details
Address
300 Mount Auburn St Ste 310
City
Cambridge
State
Massachusetts
Zip
02138-5665
Phone Number
617-497-1560
Fax Number
617-497-1190
person
Provider Business Mailing Address Details
Address
300 Mount Auburn St Ste 310
City
Cambridge
State
Massachusetts
Zip
02138-5665
Phone Number
617-497-1560
Fax Number
617-497-1190
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
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Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
MD15347 (Rhode Island)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD15347 (Rhode Island)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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