Provider Demographics
NPI:1538978473
Name:ARTIS, GLORIA D (TECHNICAL OTHER PSC)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:D
Last Name:ARTIS
Suffix:
Gender:F
Credentials:TECHNICAL OTHER PSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1149
Mailing Address - Country:US
Mailing Address - Phone:508-558-2363
Mailing Address - Fax:
Practice Address - Street 1:315 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2315
Practice Address - Country:US
Practice Address - Phone:508-376-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other