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JUSTIN GILLIS MD
NPI 1326544560
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 05, 2018
330 BROOKLINE AVE # 407, BOSTON, MA 02215(617) 667-5048(617) 667-5050 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Gillis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN GILLIS MD (NPI 1326544560) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1326544560
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN GILLISCredential: MD
Location Address330 BROOKLINE AVE # 407Boston, MA 02215-5400
Mailing Address330 Brookline Ave # 407Boston, MA 02215-5400 · (617) 667-5048 · Fax (617) 667-5050
Phone(617) 667-5048
Fax(617) 667-5050
Sole ProprietorNo
Enumeration DateApril 5, 2018
✔ NPI 1326544560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
330 BROOKLINE AVE # 407, Boston, MA 02215
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Gillis's NPI number?

The NPI number for Justin Gillis is 1326544560. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Justin Gillis located?

Justin Gillis practices at 330 Brookline Ave # 407, Boston, MA 02215. The listed phone number is (617) 667-5048.

What is Justin Gillis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Gillis was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.