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Provider Information for 1023037611

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MICHELLE Z GURVITZ MD

Gender: FEMALE

Individual NPI: 1023037611

Calendar   Last Updated:  2018-10-02
  Certification Date: 

Details

Name Value
NPI 1023037611
Enumeration Date 2006-07-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL / CARDIOLOGY
BOSTON, MA 02115-5724
United States

Phone: 617-355-6508 | Fax: 617-739-8632
View Map External Link
Primary Practice Address 300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL / CARDIOLOGY
BOSTON, MA 02115-5724
United States

Phone: 617-355-6508 | Fax: 617-739-8632
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MEDICAL PPIN # CA 00A613610
MEDICAID WA 8436511
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RA0002X - Internal Medicine Adult Congenital Heart Disease MA 245758
No 207RC0000X - Internal Medicine Cardiovascular Disease CA A61361
No 208000000X - Pediatrics WA MD00045538
No 2080P0202X - Pediatrics Pediatric Cardiology MA 245758
No 2080P0202X - Pediatrics Pediatric Cardiology WA MD00045538