Provider Demographics
NPI:1194988659
Name:GALE, SETH A (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:A
Last Name:GALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Mailing Address - Street 1:CENTER FOR BRAIN/MIND MEDICINE
Mailing Address - Street 2:60 FENWOOD ROAD, 9TH FLOOR 9016-I
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-8060
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR BRAIN/MIND MEDICINE
Practice Address - Street 2:60 FENWOOD ROAD, 9TH FLOOR 9016-I
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-0211
Practice Address - Country:US
Practice Address - Phone:617-732-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-05
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2508642084B0040X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry