Provider Demographics
NPI:1437174141
Name:GILLIS, ZOE ANN (MD)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ANN
Last Name:GILLIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 GROTON ROAD
Mailing Address - Street 2:NASHOBA VALLEY HEALTHCARE GROUP
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432
Mailing Address - Country:US
Mailing Address - Phone:978-784-9000
Mailing Address - Fax:978-772-0113
Practice Address - Street 1:198 GROTON ROAD
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432
Practice Address - Country:US
Practice Address - Phone:978-784-9831
Practice Address - Fax:978-772-0113
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-03-04
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Provider Licenses
StateLicense IDTaxonomies
MA229772207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology