Individual
ROBERTA BEVERLY GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2 LIVEWELL DR, GOODALL OCCUPATIONAL HEALTH CENTER, KENNEBUNK, ME 04043-6762
(207) 490-7801
(207) 604-1018
Mailing address
459 POOL ST, BIDDEFORD, ME 04005-9575
(207) 282-9008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1232
ME
2083X0100X
Occupational Medicine Physician
Primary
1232
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232
STATE LICENSE NUMBER
ME
Enumeration date
12/05/2006
Last updated
03/07/2023
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