Gina S. Boutwell
M.D. | Pediatrics | Female
Gina S. Boutwell, M.D. is a Norwell, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics. Gina S. Boutwell is also known as
Gina Marie Serra.
Current practice location of Gina S. Boutwell is
143 Longwater Dr, Norwell, Massachusetts - 02061-1683. She can be contacted on phone at
781-878-5200 and fax number 781-878-6750.
Gina S. Boutwell is a sole proprietor of her business.
NPI number (Unique professional ID) for Gina S. Boutwell is
1508856071 which was assigned by NPPES on 26 Oct, 2005 and it was last updated on 17 Mar, 2016.
Gina S. Boutwell license number is
154226 for Pediatrics (208000000X) in Massachusetts.
Gina S. Boutwell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gina S. Boutwell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Gina S. Boutwell |
|---|
| Other Name : | Gina Marie Serra |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Gina S. Boutwell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 143 Longwater Dr
Norwell, MA, 02061-1683
United States |
|---|
| Phone Number : | 781-878-5200 |
|---|
| Fax Number : | 781-878-6750 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1508856071 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Oct, 2005 |
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| Last Updated On : | 17 Mar, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gina S. Boutwell are as mentioned. Primary taxonomy code for Gina S. Boutwell, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 154226 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Gina S. Boutwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0016419 | Other | MA | NEIGHBORHOOD HLTH PLAN |
| 5303578 | Other | MA | AETNA |
| 3168531 | MEDICAID | MA | |
| 042297845 | Other | MA | TRICARE |
| 042297845 | Other | MA | UNITED HEALTH CARE |
| 042297845 | Other | MA | HCVM |
| 154227 | Other | MA | TUFTS MEDICARE PREFERRED |
| 042297845 | Other | MA | GIC UNICARE |
| 042297845 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 6030047 | Other | MA | CIGNA |
| 154227 | Other | MA | TUFTS |
| 201609 | Other | MA | HVD PILGRIM HEALTH CARE |
| 154227 | Other | | TUFTS - HMO |
| J17820 | Other | MA | BCBS |
| 34696 | Other | MA | FALLON |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 143 Longwater Dr
Norwell, MA, 02061-1683
United States |
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| Phone Number : | 781-878-5200 |
|---|
| Fax Number : | 781-681-9901 |
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Business Location:
Patients can refer following map for directions to
Gina S. Boutwell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.